Pulmonary Sequestration Masquerading as Bronchiectasis in an Adult: A Case of Diagnostic Dilemma and Literature Review.
Jianguo Tuo, Xiuli Xia, Yu Qiu et al.
✦ AI-curated · Sources linked
Case in brief
A 45-year-old woman presented with fever, cough, and right-sided chest pain, initially diagnosed with bronchiectasis. After treatment, she developed recurrent hemoptysis. Further imaging with thoracic aortic CTA revealed an aberrant systemic artery, leading to the diagnosis of intralobar pulmonary sequestration. The patient underwent successful right lower lobectomy, and postoperative examination confirmed the diagnosis. She recovered well at follow-up.
What made this case unusual
The case highlights how pulmonary sequestration can mimic bronchiectasis, complicating diagnosis and management.
Diagnostic / clinical pearl
Clinicians should consider pulmonary sequestration in patients with recurrent bronchiectatic symptoms, especially if hemoptysis occurs or treatment response is inadequate.
Why it matters
This case underscores the importance of advanced imaging techniques like CTA in diagnosing complex pulmonary conditions that may be misidentified.