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.
1. Corbett HJ, Humphrey GM. Pulmonary sequestration.Paediatr Respir Rev 2004;5:59-68.
2. Savic B, Birtel FJ, Tholen W, Funke HD, Knoche R.Lung sequestration: report of seven cases and review of 540 published cases. Thorax 1979;34:96-101.
3. Cho HM, Shin DH, Kim KD, Lee S, Chung KY. Clinicopathological correlation of intralobar pulmonary sequestration.Korean J Thorac Cardiovasc Surg 2003;36:356-62.
4. Kang M, Khandelwal N, Ojili V, Rao KL, Rana SS.Multidetector CT angiography in pulmonary sequestration.J Comput Assist Tomogr 2006;30:926-32.
5. Hirai S, Hamanaka Y, Mitsui N, Uegami S, Matsuura Y. Surgical treatment of infected intralobar pulmonary sequestration: a collective review of patients older than 50 years reported in the literature. Ann Thorac Cardiovasc Surg 2007;13:331-4.
6. Chien KJ, Huang TC, Lin CC, Lee CL, Hsieh KS, Weng KP. Early and late outcomes of coil embolization of pulmonary sequestration in children. Circ J 2009;73:938-42.
7. Yamaguchi M, Takahashi N, Maehara M, Suguro H,Koya Y, Akashiba T, et al. A case report of intralobar pulmonary sequestration with an anomalous artery originating from the celiac artery. Nihon Kokyuki Gakkai Zasshi 2002;40:261-4.
8. Matsumoto I, Saito H. Intralobar pulmonary sequestration with an aberrant artery originating from the celiac artery and communicating with the pulmonary artery.Nihon Kyobu Shikkan Gakkai Zasshi 1996;34:444-8.
9. Park JM, Oh BS. Intralobar plmonary sequestration with hemoptysis and hemothorax. Korean J Thorac Cardiovasc Surg 2007;40:708-10.
10. Madhusudhan KS, Das CJ, Dutta R, Kumar A,Bhalla AS. Endovascular embolization of pulmonary sequestration in an adult. J Vasc Interv Radiol 2009;20:1640-2.
11. Lee GW, Kim DK, Na HS, Bae JY, Choi JH, Kim YK,et al. A case of pulmonary sequestration treated with arterial embolization. Tuberc Respir Dis 2005;58:68-72.
12. Hayasaka K, Saitoh T, Tanaka Y. Intralobar pulmonary equestration receiving arterial supply from the superior mesenteric artery: a case report. Comput Med Imaging Graph 2006;30:135-7.
13. Yeoum MS, Kim TH, Kim DY, Jung SJ, Lee CB, Lee HJ, et al. A case of pulmonary sequestration supplied with left gastric artery. Tuberc Respir Dis 2000;48:550-5.
14. Lee DI, Shim JK, Kim JH, Lee HY, Yun YK, Chun KJ.Pulmonary sequestration with right coronary artery supply. Yonsei Med J 2008;49:507-8.