Case report :We present the case of a 27year-old male who went to the Emergency Room for the acute onset of chest pain irradiated to left flank and fever by 2 days. An abdominal computed tomography (CT) scan, performed for the suspicion of a kidney stone, showed a left basal pulmonary opacity. The patient was admitted to our department for suspected community-acquired pneumonia (CAP) but, a few days later, a chest CT scan with intravenous contrast revealed a thoracic congenital malformation: intralobar pulmonary sequestration. The pulmonary lesion was resected and the histopathological examination of the lesion showed the features of pulmonary sequestration. Conclusions :Pulmonary sequestration is a rare congenital malformation that is usually diagnosed in the Pediatric age. We report here an unusual case of intralobar pulmonary sequestration in an adult mimicking a CAP and a lung cancer.
An unusual cause of chest pain / Coppolino, Irene; Ruggeri, Paolo; Francesco Cannavò, Mario; Nucera, Francesco; Lo Bello, Federica; Donato, Rocco; Salamone, Ignazio; Potenza, Enrico; Bartoloni, Giovanni; Caramori, Gaetano; Girbino, Giuseppe. - In: ATTI DELLA ACCADEMIA PELORITANA DEI PERICOLANTI, CLASSE DI SCIENCE MEDICO-BIOLOGICHE. - ISSN 0365-0294. - 106:1(2018), pp. 1-5.
An unusual cause of chest pain
Gaetano Caramori;
2018-01-01
Abstract
Case report :We present the case of a 27year-old male who went to the Emergency Room for the acute onset of chest pain irradiated to left flank and fever by 2 days. An abdominal computed tomography (CT) scan, performed for the suspicion of a kidney stone, showed a left basal pulmonary opacity. The patient was admitted to our department for suspected community-acquired pneumonia (CAP) but, a few days later, a chest CT scan with intravenous contrast revealed a thoracic congenital malformation: intralobar pulmonary sequestration. The pulmonary lesion was resected and the histopathological examination of the lesion showed the features of pulmonary sequestration. Conclusions :Pulmonary sequestration is a rare congenital malformation that is usually diagnosed in the Pediatric age. We report here an unusual case of intralobar pulmonary sequestration in an adult mimicking a CAP and a lung cancer.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
