Fatih METEROĞLU, Atalay ŞAHİN, Selvi KELEKCİ

İntratorasik Kitle Görüntüsü Veren İntrapulmoner Sekestrasyon olgusu

Nadir bir konjenital toraks malformasyonu olan pulmoner sekestrasyon, işlevsiz pirimitif akciğer dokusudur. Pulmoner dolaşımdan farklı sistemik dolaşımdan beslenmesi olup trakeobronşial sistemle ilişkisi yoktur. Solunum enfeksiyonları olarak görülebilir veya radyolojik çalışmalarında asemptomatik kitle olarak rastlanabilir. Tedavisi cerrahi rezeksiyondur. Bu yazıda çocukluk döneminde görülen intra lober pulmoner sekestrasyon OLGUSUNU SUNUYORUZ.

Anahtar Kelimeler:

sekestrasyon, pulmoner, akciğer

A Case Of Intrapulmonary Sequestration Seeming As An Intrathoracic Mass

As a rare congenital thoracic malformation, pulmonary sequestration is composed of nonfunctioning primitive lung tissue. It has anomalous systemic supply rather than the pulmonary circulation and no connection with the tracheobronchial tree. It may present as respiratory infection or asymptomatic mass on chest imaging studies. Surgical removal is the treatment of choice. This paper presents a case of intralobar pulmonary sequestration that presented during childhood.

Keywords:

sequestration, pulmonary, lung,

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Wesley JR, Heidelberger KP, Di Pietro MA, Cho KJ, Coran AG. Diagnosis and management of congenital cystic disease of the lung in children. J Pediatr Surg 1986; 21: 202-7.
Kamiyoshihara M, Kawashima O, Sakata S, Ishikawa S, Morishita Y. Extralobar pulmonary sequestration in the posterior mediastinum. Scand Cardiovasc J 2001; 35: 157- 8.
Nicolette LA, Kosloske AM, Bartow SA, Murphy S. Intralobar pulmonary sequestration: a clinical and pathological spectrum. J Pediatr Surg 1993; 28: 802-5.
Lewis MM, Tsou E. A 66-year-old man with dyspnea, left lower lobe infiltrate, and abnormal imaging. Chest 2000;117:1782-6.
Reynolds M. Congenital lesions of the lung. In: Shields TW, Lo Cicero III J, Ponn RP, editors. General thoracic surgery. 5th ed. Philedelphia: Lippincott Williams&Wilkins; 2000. p. 937-54.
Yuncu G, Gülle A, Ceyhan K. Akciğer sekestrasyonu. Heybeliada Tıp Bülteni 2001;7:58-61.
Stolpen AH, Carry JJ, Hatabu H, Gefter WB. Magnetic resonance imaging of the thorax. In: Shields TW, Lo Cicero J, Ponn RB, eds. General thoracic surgery. 5th ed. Philadelphia:Lippincott Williams & Wilkins, 2000;184.
Franco J, Aliaga R, Domingo ML, Plaza P. Diagnosis of pulmonary sequestration by spiral CT angiography. Thorax 1998; 53: 1089-92.
Di Maggio EM, Dore R, Preda L, Fianza AL, Solcia M, Campani R : Spiral CT findings in a case of pulmonary sequestration. Eur Radiol 1997 ; 7 : 718-20.
Corbett HJ, Humphrey GM. Pulmonary sequestration. Paediatr Respir Rev 2004;5:59-68.
Gezer S, Tastepe I, Sirmali M, Findik G, Turut H, Kaya S, Karaoglanoglu N, Cetin G. Pulmonary sequestration: A single-institutional series composed of 27 cases. The Journal of Thoracic and Cardiovascular Surgery 2007;133:955-9.