Intralobar Pulmonary Sequestration Receiving Its Blood Supply from the Celiac Artery.

Jung, Ki Hwan; Lee, Seung Hwa; Lee, Ju Han; Jo, Won Min; Shin, Chol; Kim, Je Hyeong

doi:2010.68.6.358

Tuberc Respir Dis > Volume 68(6); 2010 > Article

Case Report

Tuberculosis and Respiratory Diseases 2010;68(6):358-362.
DOI: https://doi.org/10.4046/trd.2010.68.6.358 Published online June 1, 2010.

Intralobar Pulmonary Sequestration Receiving Its Blood Supply from the Celiac Artery.

Ki Hwan Jung, Seung Hwa Lee, Ju Han Lee, Won Min Jo, Chol Shin, Je Hyeong Kim

¹Department of Internal Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea. chepraxis@korea.ac.kr
²Department of Radiology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.
³Department of Pathology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.
⁴Department of Thoracic and Cardiovascular Surgery, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.

Abstract

Intralobar pulmonary sequestration is a rare congenital lung anomaly. It is defined as a portion of nonfunctioning lung parenchyma that receives its blood supply from an anomalous systemic artery. Patients often present with chronic or recurrent pneumonia. A chest radiograph may show a cystic lesion with air-fluid levels in the lung base. A high index of suspicion is needed for a diagnosis. Surgical removal of a symptomatic intralobar pulmonary sequestration is generally the treatment of choice. Identifying the aberrant artery is a difficult problem when resecting a pulmonary sequestration. The thoracic and abdominal aortas are the most common origins for the abnormal blood supply. However, arterial supply from the celiac artery is quite rare. We present a case of intralobar pulmonary sequestration with the blood supply originating from the celiac artery.

Key Words: Respiratory System Abnormalities, Bronchopulmonary Sequestration, Celiac Artery