Bronkopulmoner 'Ps�do' Sekestrasyon

Erik, Nur; Ba�l�lar, �eyma; Kaya, Sedef; �aylan, Beng�

Cilt : 8 Say� : 3 Y�l : 2025

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Bronkopulmoner 'Ps�do' Sekestrasyon [Respir Case Rep]

Respir Case Rep. 2019; 8(3): 119-122 | DOI: 10.5505/respircase.2019.33603

Bronkopulmoner 'Ps�do' Sekestrasyon

Nur Erik¹, �eyma Ba�l�lar¹, Sedef Kaya¹, Beng� �aylan²
¹Sa�l�k Bilimleri �niversitesi, �stanbul �mraniye E�itim Ve Ara�t�rma Hastanesi, G��s Hastal�klar� Klini�i
²Sa�l�k Bilimleri �niversitesi, �stanbul Sultan Abd�lhamid Han E�itim Ve Ara�t�rma Hastanesi, G��s Hastal�klar� Klini�i

Bronkopulmoner sekestrasyon terimi geni� bir bronkopulmoner vask�ler malformasyon spektrumunu i�erir. ��lyak arterin dal�ndan kanlanan, normal sa� akci�er alt lobu olan asemptomatik bir olguyu sunuyoruz. Yirmi �� ya��nda asemptomatik, sigara i�meyen, erkek askeri personel rutin sa�l�k kontrol� i�in ba�vurdu. Kontrastl� toraks bilgisayarl� tomografisinde (BT) sa� akci�er alt lobun kanlanmas�n� ��lyak arterden ald�� tespit edildi. Konjenital bronkopulmoner ps�dosekestrasyon olarak de�erlendirildi ve solunum semptomu olursa ba�vurmas� �nerildi. Bronkopulmoner sekestrasyon tan�m� Pryce taraf�ndan yap�lm�� ve �� grupta toplanm��t�r. Tip I: Normal bir akci�er lob/segmentinin anormal sistemik kanlanmas�n�n olmas�, Tip II: Akci�erden ba��ms�z olan akci�er dokusu ve kom�u normal akci�erin anormal sistemik kanlanmas�n�n olmas�, Tip III: Normal trakeobron�iyal sistemden ba��ms�z olan i�levsiz akci�er dokusunun anormal sistemik kanlanmas�n�n olmas�d�r. Daha sonra Pryce Tip I sekestrasyon 'ps�dosekestrasyon' olarak adland�r�lm��t�r. Konjenital ps�dosekestrasyon en s�k alt loblarda g�r�l�r ve kanlanma desendan torasik aorta, ��lyak arter veya abdominal aortan�n bir dal�ndan kaynaklan�r. Tan�da BT en iyi y�ntemdir.

Anahtar Kelimeler: ps�dosekestrasyon, konjenital, vask�ler malformasyon

Bronchopulmonary 'Pseudo' Sequestration

Nur Erik¹, �eyma Ba�l�lar¹, Sedef Kaya¹, Beng� �aylan²
¹University Of Health Sciences, Istanbul Umraniye Training And Research Hospital, Chest Diseases Department
²University Of Health Sciences, Istanbul Sultan Abd�lhamid Han Training And Research Hospital, Chest Diseases Department

The term �pulmonary sequestration� refers to a wide spectrum of bronchopulmonary vascular malformations. In this case report, we present an asymptomatic case with a normal right lower lobe supplied by a branch of the celiac artery. A 23-year-old male member of the military applied for a periodical physical examination. A thorax computerized tomography (CT) scan revealed a normal right lung volume, although the right lower lobe received its blood supply from the celiac artery. A diagnosis of a congenital pseudosequestration was made, and the patient was advised to seek treatment should pulmonary symptoms develop. Bronchopulmonary sequestration was first described by Pryce, who distinguished between three types of developmental abnormality: Type I: A normal lung with anomalous systemic arterial supply, Type II: An anomalous artery supplying a disconnected lung and an adjacent normal lung, and Type III: A nonfunctional and abnormal lung with systemic arterial blood supply. Later, the Pryce Type I sequestration was renamed �pseudosequestration�. Congenital pseudosequestration is usually seen the in the lower lobes, and anomalous systemic blood supply arises from the descending thoracic aorta, celiac trunk or abdominal aorta. CT is the best diagnostic method.

Keywords: pseudosequestration, congenital, vascular malformation

Sorumlu Yazar: �eyma Ba�l�lar, T�rkiye
Makale Dili: �ngilizce

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