Diagnosis and Surgical Treatment of Pulmonary Sequestration
https://doi.org/10.58838/2075-1230-2025-103-1-30-35
Abstract
The objective: to demonstrate differential diagnosis techniques of pulmonary tuberculosis with lung malformation (sequestration) in adult patients.
Subjects and Methods. In 2021-2023, 5 patients with pulmonary sequestration underwent surgery in Surgery Department of National Medical Research Center of Phthisiopulmonology and Infectious Diseases. All patients were followed up by TB service, and 3 patients were already receiving anti-tuberculosis therapy at the time of surgery.
Results. Chest computed tomography was the main tool to visualize lesions and establish preliminary diagnosis. All patients received lower lobectomy. Intralobar sequestration was confirmed in 3 patients, while extralobar sequestration within the chest was confirmed in 2 patients. According to results of surgical specimen tests, pulmonary tuberculosis was ruled out in 4 patients, and 1 patient was diagnosed with concurrent pulmonary sequestration and tuberculosis. This article presents 3 clinical cases of patients with pulmonary sequestration, including 1 case with co-morbid tuberculosis.
About the Authors
D. M. Kutuzova
National Medical Research Center of Phthisiopulmonology and Infectious Diseases, Russian Ministry of Health
Russian Federation
Darya M. Kutuzova - Junior Researcher of Department of Differential Diagnostics and Treatment of Tuberculosis and Concurrent Infections
Russian Federation
Darya M. Kutuzova - Junior Researcher of Department of Differential Diagnostics and Treatment of Tuberculosis and Concurrent Infections
4 Build. 2 Dostoevsky St., Moscow, 127473 Phone:+7 (495) 631-15-15
A. S. Bikbaev
National Medical Research Center of Phthisiopulmonology and Infectious Diseases, Russian Ministry of Health
Russian Federation
Aleksandr S. Bikbaev - Thoracic Surgeon of Tuberculosis Surgery Unit
Russian Federation
Aleksandr S. Bikbaev - Thoracic Surgeon of Tuberculosis Surgery Unit
4 Build. 2 Dostoevsky St., Moscow, 127473 Phone:+7 (495) 631-15-15
I. V. Golubenkov
National Medical Research Center of Phthisiopulmonology and Infectious Diseases, Russian Ministry of Health
Russian Federation
Ilya V. Golubenkov - Anesthesiologist and Emergency Physician, Head of Emergency Care Department
Russian Federation
Ilya V. Golubenkov - Anesthesiologist and Emergency Physician, Head of Emergency Care Department
4 Build. 2 Dostoevsky St., Moscow, 127473 Phone:+7 (495) 631-15-15
M. V. Sinitsyn
National Medical Research Center of Phthisiopulmonology and Infectious Diseases, Russian Ministry of Health; Pirogov Russian National Research Medical University
Russian Federation
Mikhail V. Sinitsyn - Doctor of Medical Sciences, Deputy Head Physician for Surgery, Professor of Phthisiology Department
Russian Federation
Mikhail V. Sinitsyn - Doctor of Medical Sciences, Deputy Head Physician for Surgery, Professor of Phthisiology Department
4 Build. 2 Dostoevsky St., Moscow, 127473 Phone:+7 (495) 631-15-15
E. G. Sokolovich
National Medical Research Center of Phthisiopulmonology and Infectious Diseases, Russian Ministry of Health
Russian Federation
Evgeniy G. Sokolovich - Doctor of Medical Sciences, Professor, Head of Research Coordination Department
Russian Federation
Evgeniy G. Sokolovich - Doctor of Medical Sciences, Professor, Head of Research Coordination Department
4 Build. 2 Dostoevsky St., Moscow, 127473 Phone:+7 (495) 631-15-15
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Review
For citations:
Kutuzova D.M., Bikbaev A.S., Golubenkov I.V., Sinitsyn M.V., Sokolovich E.G. Diagnosis and Surgical Treatment of Pulmonary Sequestration. Tuberculosis and Lung Diseases. 2025;103(1):30-35. (In Russ.) https://doi.org/10.58838/2075-1230-2025-103-1-30-35
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