关键词: Case report Endovascular embolization Hemoptysis Intralobar Pulmonary sequestration

来  源:   DOI:10.1016/j.radcr.2024.02.069   PDF(Pubmed)

Abstract:
Pulmonary sequestration (PS) is a rare congenital anomaly characterized by noncommunicative lung tissue supplied by an abnormal systemic vessel. We present a case of a 30-year-old male with intralobar PS, receiving arterial supply from the celiac artery, manifesting as massive hemoptysis. After urgent stabilization, endovascular embolization using polyvinyl alcohol particles was successfully employed. The patient\'s symptoms resolved, and follow-up confirmed satisfactory recovery. Our case underscores the diverse arterial origins of PS and the efficacy of endovascular embolization as a minimally invasive treatment. The complexity of PS, its diagnostic imaging, and alternative therapeutic options are discussed, emphasizing tailored approaches for optimal outcomes in managing this uncommon congenital anomaly.
摘要:
肺隔离症(PS)是一种罕见的先天性异常,其特征是由异常的全身血管提供的非传染性肺组织。我们介绍了一个30岁的男性,患有球内PS,从腹腔动脉接受动脉供应,表现为大咯血.紧急稳定后,使用聚乙烯醇颗粒的血管内栓塞被成功采用.病人的症状消失了,随访证实恢复令人满意。我们的病例强调了PS的多种动脉起源以及血管内栓塞作为微创治疗的功效。PS的复杂性,它的诊断成像,并讨论了替代治疗方案,强调在管理这种罕见的先天性异常时采用量身定制的方法以获得最佳结果。
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