Recurrent Pneumonia in a Child: Identifying an Underlying Pulmonary Sequestration

Abstract

Abstract Background: Pulmonary sequestration is a rare foregut abnormality, accounting for a small percentage of lung malformations, with intralobar type being more common than extralobar. Clinical Description: A 10-year-old girl presented with recurring symptoms of breathlessness, cough, chest pain, and intermittent fever since 6 months of age. Earlier, she had been hospitalized four times in the past, and even received antitubercular treatment, but without any relief. Evaluation at our hospital revealed a cystic mass in the left lower lung with anomalous feeding vessels, leading to a diagnosis of pulmonary sequestration. Management and Outcomes: Surgical correction in the form of lobar resection and ligation of the feeding vessels was done. The patient’s symptoms significantly improved postoperatively, and there were no complications or recurrence during follow-up. Conclusion: Pulmonary sequestration is a rare abnormality. Misdiagnosis as a common respiratory infection can delay appropriate management. Surgical treatment through lobar resection can dramatically alleviate symptoms.