A Case of an Uncommon Cause of Pulmonary Abscess: Intralobar Bronchopulmonary Sequestration

A patient in her early 20s presented with a cough and elevated inflammatory markers. A chest radiograph revealed an abnormal opacity in the right lower zone. Subsequent computed tomography showed an abscess in the right lower lobe that was fed by an anomalous vessel arising from the aorta. These...

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Main Authors: Matthew O’Brien, Max Edward Ireland, Nick Hollings, Osama Elzain
Format: Article
Language:English
Published: Korean Society for Thoracic & Cardiovascular Surgery 2025-05-01
Series:Journal of Chest Surgery
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author Matthew O’Brien
Max Edward Ireland
Nick Hollings
Osama Elzain
author_facet Matthew O’Brien
Max Edward Ireland
Nick Hollings
Osama Elzain
author_sort Matthew O’Brien
collection DOAJ
description A patient in her early 20s presented with a cough and elevated inflammatory markers. A chest radiograph revealed an abnormal opacity in the right lower zone. Subsequent computed tomography showed an abscess in the right lower lobe that was fed by an anomalous vessel arising from the aorta. These findings were consistent with intralobar sequestration complicated by abscess formation. The patient was treated with antibiotics and discharged home, with plans for elective embolization and lobectomy under the care of the cardiothoracic surgeons. A literature review revealed a limited body of work on pulmonary sequestrations, with very few reported cases involving similar presentations. Thus, our case represents a rare and important addition to the literature.
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publisher Korean Society for Thoracic & Cardiovascular Surgery
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series Journal of Chest Surgery
spelling doaj-art-2e658cf7dffb4d5f981668b8d6dce2572025-08-20T02:19:15ZengKorean Society for Thoracic & Cardiovascular SurgeryJournal of Chest Surgery2765-16062765-16142025-05-0158311411710.5090/jcs.25.004A Case of an Uncommon Cause of Pulmonary Abscess: Intralobar Bronchopulmonary SequestrationMatthew O’Brien0https://orcid.org/0009-0000-3816-6928Max Edward Ireland1https://orcid.org/0009-0008-5271-8360Nick Hollings2https://orcid.org/0009-0005-3959-8374Osama Elzain3https://orcid.org/0009-0003-5578-3364South West Imaging Training Academy, University Hospital Plymouth NHS Trust, Plymouth, UKDepartment of Radiology, University Hospital Plymouth NHS Trust, Plymouth, UKDepartment of Radiology, Royal Cornwall Hospitals NHS Trust, Truro, UKDepartment of Cardiothoracic Surgery, University Hospital Plymouth NHS Trust, Plymouth, UKA patient in her early 20s presented with a cough and elevated inflammatory markers. A chest radiograph revealed an abnormal opacity in the right lower zone. Subsequent computed tomography showed an abscess in the right lower lobe that was fed by an anomalous vessel arising from the aorta. These findings were consistent with intralobar sequestration complicated by abscess formation. The patient was treated with antibiotics and discharged home, with plans for elective embolization and lobectomy under the care of the cardiothoracic surgeons. A literature review revealed a limited body of work on pulmonary sequestrations, with very few reported cases involving similar presentations. Thus, our case represents a rare and important addition to the literature.bronchopulmonary sequestrationlung abscesscase reports
spellingShingle Matthew O’Brien
Max Edward Ireland
Nick Hollings
Osama Elzain
A Case of an Uncommon Cause of Pulmonary Abscess: Intralobar Bronchopulmonary Sequestration
Journal of Chest Surgery
bronchopulmonary sequestration
lung abscess
case reports
title A Case of an Uncommon Cause of Pulmonary Abscess: Intralobar Bronchopulmonary Sequestration
title_full A Case of an Uncommon Cause of Pulmonary Abscess: Intralobar Bronchopulmonary Sequestration
title_fullStr A Case of an Uncommon Cause of Pulmonary Abscess: Intralobar Bronchopulmonary Sequestration
title_full_unstemmed A Case of an Uncommon Cause of Pulmonary Abscess: Intralobar Bronchopulmonary Sequestration
title_short A Case of an Uncommon Cause of Pulmonary Abscess: Intralobar Bronchopulmonary Sequestration
title_sort case of an uncommon cause of pulmonary abscess intralobar bronchopulmonary sequestration
topic bronchopulmonary sequestration
lung abscess
case reports
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