A case of intralobar pulmonary sequestration with an aberrant artery from the celiac artery

Abstract

A 23-year-old male who complained of hemosputum consulted another hospital five years ago. Chest X-ray revealed infiltration in the right lower lung field. He was diagnosed with bronchiectasis, with his past history of sinusitis also taken into account. He had a cough and sputum at rising during the past three years with a fever of 37 to 39t approximately once every two months. Recently, he underwent a medical check-up to get a job, and chest X-ray revealed an abnormal shadow in the right lower lung field. He was referred to our hospital for close examination. With chest X-ray and chest CT scan, intralobar pulmonary sequestration of the right lower lobe was suspected, so bronchoscopy and angiography were performed. The diagnosis was intralobar pulmonary sequestration with an aberrant artery from the celiac artery. We performed ligation of the aberrant artery and right lower lobectomy. Although intralobar pulmonary sequestration has increasingly been reported recently, there have been rare cases with aberrant artery from the celiac artery, as reported in this paper.