An unusual cause of chest pain

Authors

  • Irene Coppolino Unità Operativa Complessa di Pneumologia, Dipartimento di Scienze Biomediche, Odontoiatriche e delle Immagini Morfologiche e Funzionali (BIOMORF)
  • Paolo Ruggeri Unità Operativa Complessa di Pneumologia, Dipartimento di Scienze Biomediche, Odontoiatriche e delle Immagini Morfologiche e Funzionali (BIOMORF)
  • Mario Francesco Cannavò Unità Operativa Complessa di Pneumologia, Dipartimento di Scienze Biomediche, Odontoiatriche e delle Immagini Morfologiche e Funzionali (BIOMORF)
  • Francesco Nucera Unità Operativa Complessa di Pneumologia, Dipartimento di Scienze Biomediche, Odontoiatriche e delle Immagini Morfologiche e Funzionali (BIOMORF)
  • Federica Lo Bello Unità Operativa Complessa di Pneumologia, Dipartimento di Scienze Biomediche, Odontoiatriche e delle Immagini Morfologiche e Funzionali (BIOMORF)
  • Rocco Donato Unità Operativa di Diagnostica per Immagini, Università di Messina, Italy
  • Ignazio Salamone Unità Operativa di Diagnostica per Immagini, Università di Messina, Italy
  • Enrico Potenza Unità Operativa Complessa di Chirurgia Toracica
  • Giovanni Bartoloni Unità Operativa Complessa di Anatomia Patologica, AO di Rilievo Nazionale e di Alta Specializzazione Garibaldi di Catania, Italy
  • Gaetano Caramori Unità Operativa Complessa di Anatomia Patologica, AO di Rilievo Nazionale e di Alta Specializzazione Garibaldi di Catania, Italy
  • Giuseppe Girbino Unità Operativa Complessa di Anatomia Patologica, AO di Rilievo Nazionale e di Alta Specializzazione Garibaldi di Catania, Italy

DOI:

https://doi.org/10.6092/1828-6550/APMB.106.1.2018.A3

Keywords:

Pulmonary sequestration, pulmonary congenital malformation

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.

References

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Published

2018-06-14

Issue

Vol. 106 No. 1 (2018)

Section

CLINICAL CASE SEMINAR

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