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Abstract
Case Report
Intralobar Sequestration Associated with Pulmonary Aspergillosis
Miki Oshima1) 2) Hiroshige Oda1) Akifumi Watanabe1) Masao Kuwabara2)
1)Department of Internal Medicine, Mitsugi General Hospital, 124 Ichi, Mitsugi-cho, Mitsugi-gun, Hiroshima 722-0311 2)Department of Respiratory Medicine, Hiroshima Prefectural Hospital, 54-5-1 Ujinakanda, Minami-ku, Hirosima-city, Hiroshima 734-0004
ABSTRACT
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 peocedure 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 prsent. Hyphae of aspergillus were found within the lumen of the cyst.
KEYWORDS
Aortogram Intralobar pulmonary sequestration Pryce type III Aspergillosis Right lower lobe lobectomy
Received 平成9年7月7日
JJRS, 36(4): 358-362, 1998
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