You're So Special

Document Type

Abstract

Publication Date

5-1-2025

Abstract

Bronchopulmonary sequestration (BPS) is a rare congenital anomaly of the lower airway, with a less than 6% incidence. It consists of a nonfunctional lung or a segment that receives an anomalous systemic vascular supply. The clinical presentation is nonspecific and variable. Hence BPS is mostly diagnosed incidentally in the radiograph and/or intra-operatively by identifying the systemic vascular supply. It is commonly misdiagnosed as consolidative/cavitary pneumonia, lung abscess, lung cancer, and pulmonary cyst. The mean incorrect preoperative diagnosis rate is as high as 58.3%. The interval from the onset of initial symptoms to diagnosis ranged from 2 weeks to more than 40 years-the misdiagnosis and delay in diagnosis subject such patients to numerous unnecessary invasive and harmful diagnostic procedures. Here, we present a case of a 46-year-old lady who was admitted under the impression of suspected tuberculosis and was placed in isolation, and bronchoscopy was requested for further evaluation. The radiology had mentioned the finding as cavitary pneumonia, and she was started on empiric antibiotics. Upon re-analysis of the CTA chest, the left lower lung was found to have an anomalous supply from the aorta, confirming the diagnosis. The careful review and identification of lung radiographs provided the correct diagnosis and prevented the patient from unnecessary invasive diagnostic procedures. The patient was taken out of isolation, discharged with outpatient referral to Thoracic surgery and close pulmonary follow. up.

Publication Title

American Journal of Respiratory and Critical Care Medicine

Volume

211

Issue

Abstracts

First Page

A2021

Last Page

A2021

Comments

American Thoracic Society International Conference, ATS 2025 held 2025-05-16 to 2025-05-21 in San Francisco, CA

Link to Full Text

Open Access

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