Extra-Lobar Lung Sequestration Infarction That Caused Sudden Back Pain: An Adult Case of Surgical Resection

Noriyoshi Sawabata; Isao Arai; Hisanori Hatano; Takashi Ito; Yuko Fukumoto; Takayuki Minoji; Kotaro Muranishi; Takahiko Nishigaki; Ken Konishi; Kazuyuki Matsushita; Kazunori Nakaguchi; Sadayuki Doi; Keishi Sugimoto

doi:10.70352/scrj.cr.24-0032

Case Report

Extra-Lobar Lung Sequestration Infarction That Caused Sudden Back Pain: An Adult Case of Surgical Resection

Noriyoshi Sawabata , Isao Arai, Hisanori Hatano, Takashi Ito, Yuko Fukumoto, Takayuki Minoji, Kotaro Muranishi, Takahiko Nishigaki, Ken Konishi, Kazuyuki Matsushita, Kazunori Nakaguchi, Sadayuki Doi, Keishi Sugimoto

Author information

Noriyoshi Sawabata Corresponding author
https://orcid.org/0000-0002-4899-1005
Department of Surgery, Kawanishi City Medical Center, Kawanishi, Hyogo, Japan
Isao Arai
Department of Surgery, Kawanishi City Medical Center, Kawanishi, Hyogo, Japan
Hisanori Hatano
Department of Surgery, Kawanishi City Medical Center, Kawanishi, Hyogo, Japan
Takashi Ito
Department of Pathology, Kawanishi City Medical Center, Kawanishi, Hyogo, Japan
Yuko Fukumoto
Department of Surgery, Kawanishi City Medical Center, Kawanishi, Hyogo, Japan
Takayuki Minoji
Department of Surgery, Kawanishi City Medical Center, Kawanishi, Hyogo, Japan
Kotaro Muranishi
Department of Surgery, Kawanishi City Medical Center, Kawanishi, Hyogo, Japan
Takahiko Nishigaki
Department of Surgery, Kawanishi City Medical Center, Kawanishi, Hyogo, Japan
Ken Konishi
Department of Surgery, Kawanishi City Medical Center, Kawanishi, Hyogo, Japan
Kazuyuki Matsushita
Department of Surgery, Kawanishi City Medical Center, Kawanishi, Hyogo, Japan
Kazunori Nakaguchi
Department of Surgery, Kawanishi City Medical Center, Kawanishi, Hyogo, Japan
Sadayuki Doi
Department of Surgery, Kawanishi City Medical Center, Kawanishi, Hyogo, Japan
Keishi Sugimoto
Department of Surgery, Kawanishi City Medical Center, Kawanishi, Hyogo, Japan

Keywords: extra-lobar pulmonary sequestration, infarction, back pain, adult, surgery

JOURNAL OPEN ACCESS FULL-TEXT HTML

2025 Volume 11 Issue 1 Article ID: cr.24-0032

DOI https://doi.org/10.70352/scrj.cr.24-0032

Details

Abstract

INTRODUCTION: Ischemia in extra-lobar pulmonary sequestration is rare and mostly occurs in childhood; it is uncommon in adults but can be progressive, necessitating surgical removal.

CASE PRESENTATION: A 37-year-old woman experienced sudden onset severe back pain and was initially diagnosed with pneumonia. Computed tomography revealed a 4.5 cm mass on the diaphragm and rapidly increasing pleural effusion. Emergency surgery confirmed a black mass that adhered to the diaphragm, which could be bluntly detached, but one was fixed in a cord shape that was detached by an energy device. Pathology showed significant hemorrhage and tissue destruction in extra-lobar pulmonary sequestration.

CONCLUSIONS: Extra-lobar pulmonary sequestration infarction, which develops suddenly with pain as the main complaint, is rare and mainly seen in early childhood but can also occur in adults.

Corresponding author

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