Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Intralobar Pulmonary Sequestration Receiving Its Blood Supply from the Celiac Artery

복강 동맥에서 혈액 공급을 받는 엽내 폐 분리증 1예

  • Jung, Ki-Hwan (Department of Internal Medicine, Korea University Ansan Hospital, Korea University College of Medicine) ;
  • Lee, Seung-Hwa (Department of Radiology, Korea University Ansan Hospital, Korea University College of Medicine) ;
  • Lee, Ju-Han (Department of Pathology, Korea University Ansan Hospital, Korea University College of Medicine) ;
  • Jo, Won-Min (Department of Thoracic and Cardiovascular Surgery, Korea University Ansan Hospital, Korea University College of Medicine) ;
  • Shin, Chol (Department of Internal Medicine, Korea University Ansan Hospital, Korea University College of Medicine) ;
  • Kim, Je-Hyeong (Department of Internal Medicine, Korea University Ansan Hospital, Korea University College of Medicine)
  • 정기환 (고려대학교 의과대학 안산병원 내과학교실) ;
  • 이승화 (고려대학교 의과대학 안산병원 영상의학교실) ;
  • 이주한 (고려대학교 의과대학 안산병원 병리학교실) ;
  • 조원민 (고려대학교 의과대학 안산병원 흉부외과학교실) ;
  • 신철 (고려대학교 의과대학 안산병원 내과학교실) ;
  • 김제형 (고려대학교 의과대학 안산병원 내과학교실)
  • Received : 2010.02.16
  • Accepted : 2010.03.09
  • Published : 2010.06.30
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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.

Keywords

References

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