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Case Report
 
Intralobar pulmonary sequestration: A rare presentation in adults
Ahmed Ehab1, Marwa Ghanem1, Ahmed Ibrahim Twafik2, Magda Abdel-salam1, Nasef Abdel-Salam A. Rezk1, Asem A. Hewidy1
1Department of Chest Medicine, Faculty of Medicine, Mansoura University, Egypt.
2Department of Diagnostic and Interventional Radiology Faculty of Medicine, Mansoura University, Egypt.

Article ID: Z01201702CR10763AE
doi:10.5348/ijcri-201724-CR-10763

Address correspondence to:
Ahmed Ehab
Chest Medicine Department, Mansoura University Hospital
Elgomhoria Street, Mansoura
Egypt, 35516

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How to cite this article
Ehab A, Ghanem M, Twafik AI, Abdel-Salam M, Abdel-Salam N, A. Rezk NA, Hewidy AA. Intralobar pulmonary sequestration: A rare presentation in adults. Int J Case Rep Images 2017;8(2):133–137.


Abstract
Introduction: Pulmonary sequestration represents a rare congenital anomaly of the lower respiratory tract. Interlobar sequestration is the most common form and usually presents in the left hemithorax during the second decade of life or earlier. Its blood supply usually arises from systemic circulation. Surgical intervention is the treatment of choice in patients with pulmonary sequestration.
Case Report: We describe a late presentation of an intralobar sequestration in a 59-year-old male. It presented with recurrent attack of hemoptysis. Radiological investigations revealed pulmonary sequestration. Two unusual features were found in this case: being in the right side and having double blood supply from both systemic and pulmonary circulation.
Conclusion: In this case report, we described a case of unusual presentation of ILS in old patients, right sided with double blood supply from both pulmonary artery and abdominal aorta.

Keywords: Intralobar pulmonary sequestration, Lung anomalies, Pulmonary angiography


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Author Contributions
Ahmed Ehab – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Marwa Ghanem – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Ahmed Ibrahim Twafik – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Magda Abdel-salam – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Nasef Abdel-Salam A. Rezk – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Asem A. Hewidy – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Ahmed Ehab et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Authors

Ahmed Ehab is Assistant lecturer of chest medicine at chest medicine department, Faculty of medicine, Mansoura University, Mansoura, Egypt. He earned undergraduate degree (M.B.B.Ch) and postgraduate degree (MD in Chest Medicine) from from Mansoura University, Mansoura, Egypt. He has published two papers and one book. His research interests include bronchoscopic intervention, medical thoracoscopy, and respiratory critical care.



Marwa Ghanem is Chest medicine resident at Chest medicine department, Faculty of medicine, Mansoura University, Mansoura Egypt. She earned the undergraduate degree (M.B.B.Ch) from Mansoura University, Mansoura, Egypt). Her research interests include interventional bronchoscopy and respiratory critical care.



Ahmed Ibrahim Twafik is lecturer of diagnostic and interventional Radiology at Department of diagnostic and interventional radiology, faculty of medicine, Mansoura University, Mansoura, Egypt. He earned undergraduate degree (M.B.B.Ch) and postgraduate degree (MD in Radiology) from Mansoura University, Mansoura, Egypt. He has published one research paper and one book. His interest includes interventional radiology.



Magda Abdel-Salam is Chest medicine Assistant Professor at Chest medicine department, Faculty of medicine, Mansoura University, Mansoura, Egypt. She earned undergraduate degree (M.B.B.Ch) and postgraduate degree (MD in Chest Medicine) from Mansoura University, Mansoura, Egypt.



Nasef Abdel-Salam A. Rezk is Chest medicine Assistant Professor at Chest Medicine Department, Faculty of medicine, Mansoura University, Mansoura, Egypt. He earned undergraduate degree (M.B.B.Ch) and postgraduate degree (MD in Chest Medicine) from Department of chest medicine, faculty of medicine, Mansoura University, Mansoura, Egypt. He has published ten research papers in national and international academic journals.



Asem A. Hewidy is Chest medicine Assistant Professor at Chest Medicine Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt. He earned undergraduate degree (M.B.B.Ch) and postgraduate degree (MD in Chest Medicine) from Chest Medicine Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt. He has published eleven research papers in national and international academic journals. His research interests include interventional bronchoscopy, and thoracoscopy.