One Case of Pulmonary Sequestration Misdiagnosed as Pulmonary Abscess:a Case Report and Literature Review
WANG Lin-lin
ZHOU Jin-tao
Abstract：Objective To improve the correct diagnosis of pulmonary sequestration ( PS) in order to reduce misdiag-nosis and missed diagnosis rates. Methods Clinical date of one case of pulmonary sequestration misdiagnosed as pulmonary abscess was retrospectively analyzed and relevant references about pulmonary sequestration were reviewed. Results The 43-years old male patient was admitted for cough, expectoration and fever. CT scanning showed a hollow hole in the lower left lung with liquid and the patient responded to anti-infection therapy for lung abscess. A month later, CT scanning showed a branch of pulmonary artery entered lower left lung and the abscess was not absorbed due to pathological changes in the lungs. A revised diagnosis was PS, which was confirmed by postoperative pathological test. Conclusion Because of the non-specific clinical manifestations of pulmonary sequestration, the disease tends to easily misdiagnosed or missed diagnosed especially for those who has repeated lung infection and whose lesion will not be absorbed after anti-infection therapy and PS should be considered in young patients whose lesion is in the left lower lung. The best inspection method is enhanced CT scan, which can clearly show the lesions characteristic of pulmonary sequestration.
Keywords：Bronchopulmonary sequestrationMisdiagnosisLung abscessDiagnosisTreatment
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 46-48 )