A Misdiagnosed Case of Recurrent Hemoptysis Caused by Pulmonary Sequestration and the Literature Review
CHEN Liang-yu
ZHANG Wei
DONG Hong-zhen
CAI Jun-xiang
Abstract：Objective To explore the pathogeny, diagnosis, treatment and misdiagnosed reasons of Pulmonary Se-questration ( PS) , and to reduce the chance of misdiagnosis and mistreatment. Methods Clinical data of a patient with in-tralobar pulmonary sequestration was retrospectively analyzed and related literature were also reviewed. Results This 67-year-old female was admitted to our hospital with a chief complaint of a recurrent hemoptysis for 15 years, worsened for 3 days. She was diagnosed as bronchiectasia in other hospitals and treated with anti-biotics, Hemostatics, etc. , which had little effect. At the beginning, we had thought about the diagnosis of lung adenocarcinoma based on the chest CT image where a space-occup-ying leision of right lower lobe was shown. However, our senior physician considered low probability of malignant tumor when we compared the CT image with that years ago. This diagnosis was also unsupported by bronchoscopy and tumor makers test results. Considering the chance of bronchopulmonary malformations, we performed a CTPA on the patient and it identified the mass lesion as intralobar pulmonary sequestration. The patient was later transferred to department of thoracic surgery and trea-ted with lobectomy. After a one-year follow-up observation, no complications and related symptoms occurred. Conclusion Symptoms of PS are often nonspecific, which may lead to a high rate of misdiagnosis. As physicians, we are supposed to think of the probability of PS when routine tests like X-rays, CT or bronchoscopy fail to identify the cause of hemoptysis. CTA and DSA are essential for diagnosis of PS.
Keywords：Bronchopulmonary sequestrationHemoptysisMisdiagnosisBronchiectasis
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 25-29 )