Korean J Med.  2004 Nov;67(Suppl 3):S927-S931.

A case of aspergillosis within pulmonary sequestration diagnosed by MDCT

• Kim JK
• Choi E
• Na M
• Cho YJ
• Lee WY

Abstract

The bronchopulmonary sequestration is a rare congenital malformation of the lung, concerning about the abnormal feeding systemic artery, needed for invasive angiography for definite diagnosis. This case report is described that patient diagnosed by multi-detectional computed tomography (MDCT) without angiography and combined with aspergillosis within an intralobar seqestration. He was 43-year old male patient with left submandibular mass. On chest PA, abnormal cystic lesion was shown in left lower lung field. There were multiple cysts with internal air-fluid level in left lower lobe on computed tomography. By useing MDCT, we could reconstruct internal structures and feeding artery, arising from thoracic aorta. We could confirm the intralobar bronchopulmonary sequestration. Lobectomy of the left lower lobe was done. On histologic finding, there was intralobar type pulmonary seqestration with chronic inflammation with hyphae of aspergillus species focally.

Keyword

Bronchopulmonary sequestration; Multi-detector computed tomography; Aspergillosis

MeSH Terms

Adult
Angiography
Aorta, Thoracic
Arteries
Aspergillosis*
Aspergillus
Bronchopulmonary Sequestration*
Diagnosis
Humans
Hyphae
Inflammation
Lung
Male
Thorax