scholarly journals Intralobar Pulmonary Sequestration with Anomalous Artery Arising from the Celiac Trunk

Surgeries ◽  
2021 ◽  
Vol 2 (1) ◽  
pp. 105-112
Author(s):  
Alexandr E. Mashkov ◽  
Johannes M. Mayr ◽  
Andrei V. Bobylev ◽  
Vyacheslav V. Slesarev
Keyword(s):  
Lower Lobe ◽  
Celiac Trunk ◽  
Pulmonary Sequestration ◽  
Lung Parenchyma ◽  
Left Lower Lobe ◽  
Normal Lung ◽  
Large Artery ◽  
Anomalous Artery ◽  
Contrast Enhanced ◽  
Enhanced Computed Tomography

Pulmonary saequestration is a rare congenital malformation characterized by a dysplastic portion of lung parenchyma supplied by an anomalous artery originating from the aorta or its branches. The worldwide incidence of pulmonary sequestration among all congenital lung malformations in children ranges from 1.5% to 6.4%. There are two main types of pulmonary sequestration according to the localization of the malformation, i.e., intrapulmonary sequestration (dysplastic tissue located inside a lobe of the normal lung) and extrapulmonary sequestration. Our case presentation aims to make physicians aware of this rare anomaly which may be difficult to diagnose because of its oligosymptomatic course prior to first presentation. We present the case of a 10-year-old girl who suffered from a second episode of prolonged pneumonia of the left lower lobe. Contrast-enhanced-computed-tomography (CT) scan of the thoraco-abdominal segment of the aorta and its branches revealed intrapulmonary sequestration localized at the left lower lobe of the lung. The intrapulmonary sequester was perfused by a large artery arising from the celiac trunk. The girl underwent open surgery with ligation of the anomalous feeding artery and atypical pulmonary resection of the affected area of the left lower lobe. Postoperatively, the child recovered without any complications.

scholarly journals Isolated Systemic Supply to Normal Lung—A Rare Cause for Hemoptysis (A Case Report with Review of Literature)

2018 ◽  
Vol 02 (01) ◽  
pp. 062-068 ◽  
Author(s):  
Rengarajan Rajagopal ◽  
Gurpreet Gulati
Keyword(s):  
Transarterial Embolization ◽  
Lower Lobe ◽  
Left Lower Lobe ◽  
Normal Lung ◽  
Contrast Enhanced ◽  
Pulmonary Arterial ◽  
Complete Thrombosis ◽  
Enhanced Computed Tomography ◽  
Systemic Arterial Supply

AbstractThe authors report the case of a 23-year-old man with hemoptysis who had an abnormal retrocardiac opacity in the medial aspect of the left lower lobe on a chest radiograph. Contrast-enhanced computed tomography (CT) revealed anomalous systemic arterial supply to the left lower lobe with absence of pulmonary arterial branches to the involved lung. The patient underwent successful transarterial embolization of the systemic supply without any complications. Follow-up imaging showed persistent complete thrombosis of the artery. He recovered with no symptoms at 6 months.

scholarly journals A Congenital Cause of Recurrent Pneumonia in an Adult

2018 ◽  
Vol 1 (3) ◽  
pp. 104-106
Author(s):  
Wahid Lana ◽  
◽  
Icard Bradley ◽  
Pelleg Tomer ◽  
Ie Susanti ◽  
...  
Keyword(s):  
Congenital Abnormality ◽  
Adult Population ◽  
Lower Lobe ◽  
Celiac Trunk ◽  
Pulmonary Sequestration ◽  
Left Lower Lobe ◽  
Recurrent Pneumonia ◽  
Rare Congenital Abnormality

Pulmonary sequestration is a rare congenital abnormality especially in the adult population. It can commonly present as a cause for recurrent pneumonia or be found incidentally as an adult on imaging. We present a case of left lower lobe celiac trunk pulmonary sequestration in the setting of recurrent pneumonia to include histoplasmosis.

Comparison of anomalous systemic artery to left lower lobe and pulmonary sequestration in left lower lobe by computed tomography

2015 ◽  
Vol 56 (9) ◽  
pp. 1100-1104 ◽  
Author(s):  
Jie Qin ◽  
Xiao-li Wang ◽  
Ming-jun Bai ◽  
Shao-hong Huang ◽  
Xiu-zhen Chen ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Lower Lobe ◽  
Pulmonary Sequestration ◽  
Left Lower Lobe ◽  
Systemic Artery

Thoracic Stent Graft Accompanied by Coil Embolization for Pulmonary Sequestration

2019 ◽  
Vol 14 (2) ◽  
pp. 168-173 ◽  
Author(s):  
Fatima G. Wilder ◽  
Sarah Z. Minasyan
Keyword(s):  
Back Pain ◽  
Chest Pain ◽  
Ct Angiography ◽  
Stent Graft ◽  
Coil Embolization ◽  
Lower Lobe ◽  
Pulmonary Sequestration ◽  
Type I ◽  
Anomalous Artery ◽  
Thoracic Stent Graft

Thoracic stent graft plus coil embolization is a promising option for management of pulmonary sequestrations. Here we present the case of a 43-year-old male with chronic recurrent chest pain and hemoptysis that was incidentally identified as having a Pryce Type I pulmonary sequestration. The patient had a known history of gastritis, alcohol abuse, chronic leg and back pain, and was incidentally found to have an anomalous artery from the descending thoracic aorta to the left lower lobe. Due to recurrent hemoptysis and refractory back pain with no other identifiable etiology, he was consented for coil embolization and thoracic endovascular aortic repair. In conjunction with interventional radiology, coil embolization of the aberrant thoracic artery was performed under fluoroscopic guidance with good graft coverage of the aberrant artery with an endovascular graft. The patient’s postoperative recovery was uneventful and he reported a decrease in his chest pain. Repeat imaging including chest X-ray and CT angiography were performed prior to discharge. CT angiography demonstrated good positioning of the coils as well as the stent graft. The patient was discharged on postoperative day 1. Surgical intervention with ligation of the anomalous vessel has historically been the primary intervention for patients with Pryce Type I sequestrations, and it has yielded satisfactory results. However, thoracic stent graft in addition to coil embolization is a minimally invasive management option that should be considered as the first line of treatment because of the minimal physiologic burden on the patient and quicker recovery as compared to traditional thoracotomy.

Anomalous systemic arterial supply to the left lower lobe without evidence of pulmonary sequestration

2016 ◽  
Vol 88 (5) ◽  
pp. 510-510
Author(s):  
Sameer Thakur ◽  
Siew Simg Christine Goh ◽  
Rajiv Sharma ◽  
Ashutosh Hardikar
Keyword(s):  
Lower Lobe ◽  
Pulmonary Sequestration ◽  
Left Lower Lobe ◽  
Arterial Supply ◽  
Systemic Arterial Supply

scholarly journals Intralobar Pulmonary Sequestratıon as an Unusual Cause of Recurrent Hemoptysis

2012 ◽  
Vol 2 ◽  
pp. 71 ◽  
Author(s):  
Servet Kayhan ◽  
Burçin Çelik ◽  
Umit Belet ◽  
Oguz Aydin
Keyword(s):  
Lower Lobe ◽  
Pulmonary Sequestration ◽  
Lung Parenchyma ◽  
Preoperative Imaging ◽  
Massive Hemoptysis ◽  
Surgical Interventions ◽  
Cystic Lung ◽  
Intralobar Pulmonary Sequestration ◽  
Uncommon Case ◽  
Tracheobronchial System

Pulmonary sequestration is an embryonic, cystic lung tissue that is supplied by systemic blood circulation. It is a nonfunctional lung parenchyma unconnected to normal tracheobronchial system. In cases of pulmonary sequestration, surgical interventions should be performed in order to prevent possible complications such as massive hemoptysis and infections. Preoperative imaging and treatment planning should be done carefully. We present an uncommon case of recurrent hemoptysis caused by intralobar pulmonary sequestration located in the left lower lobe.

scholarly journals Splenic Haematoma as a Rare Cause of Pleural Effusion: A Case Report

2021 ◽  
Author(s):  
Kashish Dutta ◽  
Anuj Kumar ◽  
Surabhi Jaggi ◽  
Mandeep Kaur Sodhi ◽  
Deepak Aggarwal
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Pleural Effusion ◽  
Lung Parenchyma ◽  
Malignant Cells ◽  
Contrast Enhanced ◽  
Enhanced Computed Tomography ◽  
Upper Abdomen ◽  
Contrast Enhanced Computed Tomography ◽  
Exudative Pleural Effusion

Pleural effusion has various aetiologies, mostly located either in the lung parenchyma or in the pleura. Subphrenic causes, leading to exudative pleural effusion are uncommon. Authors hereby, presented a case of a 50-year-old female with recurrent left sided pleural effusion. The effusion was haemorrhagic, exudative with low Adenosine Deaminase (ADA), and no malignant cells on cytology. Contrast Enhanced Computed Tomography (CECT) thorax and upper abdomen showed an incidental splenic haematoma. With conservative treatment, splenic haematoma and adjoining pleural effusion resolved completely. Thus, this case highlights splenic haematoma as a rare but important cause of pleural effusion.

CT findings of anomalous systemic artery to the left lower lobe: Comparison with pulmonary sequestration in the left lower lobe

2014 ◽  
Vol 69 (12) ◽  
pp. e485-e490 ◽  
Author(s):  
J. Qin ◽  
S.-H. Huang ◽  
R.-H. Yan ◽  
Y.-X. Dong ◽  
H. Shan
Keyword(s):  
Lower Lobe ◽  
Pulmonary Sequestration ◽  
Left Lower Lobe ◽  
Ct Findings ◽  
Systemic Artery

scholarly journals Anatomical Variations of Celiac Trunk and Its Branching Pattern with Special Reference to Surgical Implications in Mysore Based Population

2021 ◽  
Vol 10 (37) ◽  
pp. 3225-3230
Author(s):  
Vidya C.S ◽  
Shivanakarappa C. ◽  
Sudha Kiran Das ◽  
Santh Kumar
Keyword(s):  
Computed Tomography ◽  
Hepatic Artery ◽  
Celiac Trunk ◽  
Type I ◽  
Branching Pattern ◽  
Anatomic Variations ◽  
Contrast Enhanced ◽  
Coeliac Trunk ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

BACKGROUND Celiac trunk (CT) is the first major abdominal branch of the aorta. Anatomic variations and accessory vessels have been reported with variable percentages. We report here a particularly rare variant involving absence of the celiac trunk in association with trifurcation of the common hepatic artery (CHA). The purpose of this study was to report the pattern of the celiac trunk and its anatomic variations in a sample of Mysore population. METHODS Celiac trunk dissection was performed in 10 fresh cadavers and 50 cases of contrast enhanced computed tomography (CECT) images of Mysore based subjects at JSS Medical College and Hospital aged 18 years and above were included. Celiac trunk variations, length, diameter, accessory vessels, and vertebral level of origin were described. RESULTS The branching pattern of coeliac trunk was observed in 60 cases (37 males, 23 females) by dissection and CECT scan method. Type I was found in 48 cases (80 %), Type I form 2a was found in 2 cases (3.3 %). Type II form 1 in 6 cases (10 %). Type III was observed in 1 case and in another case left hepatic artery (LHA) arising from coeliac trunk, Type VII was found in 2 cases (3.3 %). The length and diameter of coeliac trunk were analysed using descriptive statistics and mean ± SD for length was 1.8 ± 0.4 and diameter 0.5 ± 0.2 respectively. CONCLUSIONS Awareness of CT variations is important in surgical resection, transplantation, and interventional radiology procedure. KEY WORDS Celiac Trunk, Variations, Morphometry, Contrast Enhanced Computed Tomography Scan Method

scholarly journals Anomalous systemic arterial supply to the basal segment of the lung with giant aberrant artery: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Takahiro Utsumi ◽  
Haruaki Hino ◽  
Shintaro Kuwauchi ◽  
Nobuya Zempo ◽  
Kaori Ishida ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Arteriovenous Fistula ◽  
Lower Lobe ◽  
Celiac Artery ◽  
Left Lower Lobe ◽  
Mural Thrombus ◽  
Basal Segment ◽  
Aberrant Artery ◽  
Enhanced Computed Tomography ◽  
Systemic Arterial Supply

Abstract Background Anomalous systemic arterial supply to the basal segment of the lung (ABLL) is a relatively rare congenital anomaly characterized by aberrant systemic arterial blood flow to the basal segment of the lung. We experienced a rare presentation of ABLL, in which a giant aberrant artery with the same dimensions as that of the descending aorta flowed from the celiac artery to left lower lobe. Case presentation An otherwise healthy 42-year-old man was referred to our department due to an abnormal chest X-ray. Enhanced computed tomography revealed a huge and winding aberrant artery with mural thrombus originating from the celiac artery and perfusing into the left lower lobe. We diagnosed giant ABLL and considered possible concomitant pulmonary arteriovenous fistula. The diameter of the aberrant artery was > 30 mm and high-pressure flow was assumed; therefore, we performed staged resection of the left lower lobectomy including division of the aberrant artery at the pulmonary ligament and subsequent embolization of the remnant arterial flow uneventfully. Pathologically, the aberrant artery was abundant with elastic fibers, and dissections of the tunica media and mural thrombus were observed; however, arteriovenous fistula was not confirmed. At 6 postoperative months, enhanced computed tomography showed the aberrant artery to be completely occluded without any symptoms. Conclusions We present a case of ABLL that was successfully managed by surgical resection of the left lower lobe with most of the giant aberrant artery and subsequent embolization of the remnant portion. Our study demonstrates that a staged surgical therapy is an acceptable approach for ABLL in case of complication with a giant aberrant artery.

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