Misdiagnosis Analysis of One Patient with Pulmonary Sequestration
YANG Ke
WEI Cai-hong
GUO Dan
CUI Yong-hui
BO Mao-sheng
ZHOU Jun
Abstract：Objective To discuss clinical characteristics and misdiagnosed causes of pulmonary sequestration ( PS) . Methods Clinical data of 1 patient with PS, who was misdiagnosed as having other diseases, was retrospectively analyzed. Results The patient was admitted for repeated cough, expectoration and haemoptysis for 10 years and recurrence for 3 d, The patient was misdiagnosed as having bronchiectasis, tuberculosis and lung cancer in other hospitals, but the patient's symptoms did not obviously improved after related treatments. Right lower lung epimere PS ( abnormal feeding artery from superior seg-ment of abdominal aorta) was diagnosed after treatments such as laboratory and CT contrast enhanced scan, multi-level picture reconstruction ( MPR) , maximum intensity projection ( MIP) and volume reappearance restructuring ( VR) . The patient was treated with anti-infection, eliminate sputum and hemostasis, and the patient was discharged after hemoptysis was stopped. With follow-up for one year, no symptoms such as cough or expectoration were found. Conclusion When patients have re-peated cough, expectoration and hemoptysis with incurability, clinicians have taken into account the PS, and give relevant medical examinations in time in order to confirm the diagnosis as early as possible to avoid misdiagnosis and mistheapy and im-prove prognosis.
Keywords：Pulmonary sequestrationMisdiagnosisBronchiectasisTuberculosispulmonary
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 6-8 )