Adult congenital horseshoe lung with bilateral pulmonary sequestration: A case report.

IF 0.9 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Acta radiologica open Pub Date : 2023-01-01 DOI:10.1177/20584601231152640
Guoli Ren, Bo Wang, Daliang Liu
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Abstract

Horseshoe lung (HL) is an infrequent congenital lung anomaly. Its main feature is that the lower lungs on both sides extend behind the pericardium and fuse across the midline, usually accompanied by pulmonary dysplasia. It is reported that 80% of HL is relevant to the abnormal return of some pulmonary veins from the right lung to the inferior vena cava or right atrium (scimitar syndrome). Most patients are within 5 years old, most commonly within 1 year old, but HL may also have no apparent clinical symptoms or mild symptoms. This case is a 36-years-old adult female who developed left chest pain more than a month ago and continued to worsen for 10 days. The patient also had repeated pulmonary infection with cough and expectoration.

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成人先天性马蹄肺合并双侧肺隔离1例。
马蹄肺是一种罕见的先天性肺异常。其主要特征为双侧下肺向心包后方延伸并跨越中线融合,常伴有肺发育不良。据报道,80%的HL与部分肺静脉从右肺向下腔静脉或右心房的异常回流有关(弯刀综合征)。患者多在5岁以内,最常见于1岁以内,但HL也可能无明显临床症状或症状轻微。该病例为一名36岁成年女性,一个多月前出现左胸痛,并持续恶化10天。患者有反复肺部感染伴咳嗽、咳痰。
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