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Bilobar pulmonary sequestration: a rare case involving 2 adjacent lobes.

Publication: Journal of Respiratory Diseases
Publication Date: 01-JUL-08 		Format: Online
Delivery: Immediate Online Access
Full Article Title: Bilobar pulmonary sequestration: a rare case involving 2 adjacent lobes.(A CASE IN POINT)(Case study)

Article Excerpt
We present a case of a 20-year-old man with massive hemoptysis resulting from pulmonary sequestration that involved 2 lobes (the right lower and middle lobes). Preoperative embolization and subsequent surgical bilobectomy were performed. Although the patient had a difficult and prolonged postoperative course, he eventually had a full recovery.

The case

A 20-year-old man with a history of asthma and tobacco use presented with massive hemoptysis and shortness of breath over the course of a few hours. He was hypotensive and tachycardic but afebrile.

On physical examination, dullness and decreased breath sounds were observed at the base of the right lung. Findings from the remainder of the physical examination were unremarkable.

The patient's hemoglobin level was 7.1 g/dL. His symptoms progressively worsened to the extent that he required volume resuscitation, packed red blood cell transfusion, and intubation. A chest radiograph showed a dense infiltrate in the right lower and...

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