Intralobar sequestration associated with pulmonary aspergillosis

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1: Nihon Kokyuki Gakkai Zasshi. 1998 Apr;36(4):358-62. Related

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[intralobar sequestration associated with pulmonary aspergillosis]

[Article in Japanese]

Oshima M, Oda H, Watanabe A, Kuwabara M.

Department of Internal Medicine, Mitsugi General Hospital, Hiroshima.

A 49-year-old man with a cough productive of black sputum was

admitted to our hospital. A chest CT scan was done. Cystic, estatic

changes, and intra-capsula fluid surrounding an enhanced wall in the

right S10 were seen. Aspergillus niger was detected by sputum

culture. Aortic angiography showed that an aberrant artery

originated from the inferior diaphragmatic artery and penetrated the

right S10. The preoperative diagnosis was lung sequestration

associated with aspergillosis. The operative procedure included

right lower lobectomy and ligation of the aberrant artery.

Postoperatively, Pryce-type intralobar sequestration infected with

aspergillus was diagnosed. Microscopically, the parenchyma was

distorted and chronic inflammation was present. Hyphae of

aspergillus were found within the lumen of the cyst.

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PMID: 9691650 [PubMed - indexed for MEDLINE]