The diagnosis of pulmonary sequestration is always tentative until an exploratory thoracotomy confirms the preoperative impression. The following case report illustrates the value of aortography in establishing this diagnosis prior to surgical intervention.
Report of a Case
A 42-year-old woman complained of a backache of three months' duration. The pain was localized to the lower thoracic spine and radiated to both right and left costal margins. It was aggravated by movements of the trunk and was especially severe during the night and early morning. Her family physician hospitalized her and, after studies, treated her for a gastric ulcer. This therapy failed to alleviate her symptoms, and she came to the Henry Ford Hospital clinic.
The initial physical examination, urinalysis, routine blood studies, and serologic tests for syphilis were all normal. The routine photofluorogram demonstrated a soft tissue density (fig. 1) in the left lower chest adjacent to the spine. The
Kenney LJ, Eyler WR. PREOPERATIVE DIAGNOSIS OF SEQUESTRATION OF THE LUNG BY AORTOGRAPHY. JAMA. 1956;160(17):1464–1465. doi:10.1001/jama.1956.02960520026008
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