Untreated pulmonary sequestration with recurrent superinfection ­supporting COPD development in a 42 year old male patient

Untreated pulmonary sequestration with recurrent superinfection ­supporting COPD development in a 42 year old male patient

Authors

  • Maximilian Leitner Dept. of Internal Medicine V – Pneumology, Allergology, and Intensive Care Medicine; University Hospital and University of Saarland, Homburg, Germany https://orcid.org/0000-0001-8327-9753
  • Jeannine L. Kühnle Dept. of Internal Medicine V – Pneumology, Allergology, and Intensive Care Medicine; University Hospital and University of Saarland, Homburg, Germany
  • Petra Ecker Dept. of Thoracic and Cardiovascular Surgery, Saarland University Medical Center, Homburg/Saar, Germany
  • Tetiana Khrystenko Dept. of Pathology, University of Saarland, Homburg/Saar, Germany
  • Wolfgang Tränkenschuh Dept. of Pathology, University of Saarland, Homburg/Saar, Germany
  • Robert Bals Dept. of Internal Medicine V – Pneumology, Allergology, and Intensive Care Medicine; University Hospital and University of Saarland, Homburg, Germany
  • Philipp M. Lepper Dept. of Internal Medicine V – Pneumology, Allergology, and Intensive Care Medicine; University Hospital and University of Saarland, Homburg, Germany
  • Frank Langer Dept. of Thoracic and Cardiovascular Surgery, Saarland University Medical Center, Homburg/Saar, Germany

Keywords:

Pulmonary sequestration, congenital pulmonary malformation, pneumonia, surgical sequestrectomy, COPD

Abstract

Background: Pulmonary sequestration is a congenital malformation in which nonfunctional lung tissue develops without connection to the bronchial system. The main complication is the occurrence of recurrent pneumonia.
Case presentation: We describe the case of a patient who was incidentally diagnosed with PS as part of the diagnostic algorithm for community-acquired pneumonia. Due to the relatively late diagnosis, the recurrent bronchopulmonary was conducive to the development of COPD and pulmonary emphysema. For prognostic reasons, surgical resection was performed by posterolateral thoracotomy.
Conclusions: Although cigarette smoking is the main risk factor for developing COPD, recurring lung infections may have a synergistic effect. Sometimes recurrent infections are caused by a congenital malformation. Especially in adults who have had recurrent pneumonia since childhood.

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Published

09-08-2024

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Section

Case Reports

How to Cite

1.
Leitner M, Kühnle JL, Ecker P, Khrystenko T, Tränkenschuh W, Bals R, et al. Untreated pulmonary sequestration with recurrent superinfection ­supporting COPD development in a 42 year old male patient. Multidiscip Respir Med [Internet]. 2024 Aug. 9 [cited 2024 Sep. 9];19(1). Available from: https://mrmjournal.org/index.php/mrm/article/view/953