Elsevier

Trauma Case Reports

Volume 10, August 2017, Pages 1-3
Trauma Case Reports

Case Report
Treatment for unstable pulmonary sequestration injury in patient with severe blunt trauma: A case report

https://doi.org/10.1016/j.tcr.2017.05.007Get rights and content
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Abstract

Case

Pulmonary sequestration is a congenital malformation characterized by nonfunctioning tissue not communicating with the tracheobronchial tree. As the blood pressure in the artery feeding the sequestrated lung tissue is higher than that in the normal pulmonary artery, the risk of massive hemorrhage in pulmonary sequestration is high. We herein present the first case of a severe blunt trauma patient with unstable pulmonary sequestration injury.

Outcome and conclusion

The mechanism of pulmonary sequestration injury is vastly different than that of injury to normal lung. We suggest that proximal feeding artery embolization should be performed before surgical intervention in patients with massive hemorrhage of pulmonary sequestration due to severe chest trauma.

Keywords

Blunt trauma
Coil embolization
Massive hemorrhage
Pulmonary sequestration

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