An unusual cause of chest pain

Irene Coppolino, Paolo Ruggeri, Mario Francesco Cannavò, Francesco Nucera, Federica Lo Bello, Rocco Donato, Ignazio Salamone, Enrico Potenza, Giovanni Bartoloni, Gaetano Caramori, Giuseppe Girbino


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.


Pulmonary sequestration; pulmonary congenital malformation

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Copyright (c) 2018 Irene Coppolino, Paolo Ruggeri, Mario Francesco Cannavò, Francesco Nucera, Federica Lo Bello, Rocco Donato, Ignazio Salamone, Enrico Potenza, Giovanni Bartoloni, Gaetano Caramoni, Giuseppe Girbino

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