PLUĆNI SEKVESTAR - PRIKAZ TRI SLUČAJA.

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    • Alternate Title:
      PULMONARY SEQUESTRATION - REPORT OF THREE CASES.
    • Abstract:
      Introduction Pulmonary sequestration is a non-functioning pulmonary parenchyma that is separated from tracheobronchial tree and receives its blood supply via systemic arteries. The diagnosis of sequestration pulmonis is based on clinical symptoms and characteristic radiologic findings. Case reports In this report, radiological findings of pulmonary sequester in three patients with non-resolving pneumonia were retrospectively reviewed. All patients underwent chest x-ray, computerized tomography of thorax and angiography. X-ray revealed in all cases tumorlike, unsharply bordered shadows in the posterior basal parts of the lung, two on the right and one on the left side. Computerized tomography(CT) finding showed solid-cystic tumor masses and angiography revealed anomalous blood supply from systemic arteries arising from aorta and running to the shadow in the lung. This finding is typical of bronchopulmonary sequestration. All patients were operated on and histological analysis of operative material confirmed diagnosis of intralobar pulmonary sequestration. Discussion Sequestratio pulmonis can cause a diagnostic problem due to unspecific symptoms and atypical radiographic and CT findings. Therefore, it is important to demonstrate the arterial supply and venous drainage of the sequestered segment preoperatively. Today, with the help of non-invasive imaging techniques such as CT and magnetic resonance imaging (MRI), preoperative diagnosis of pulmonary sequester can be made easily, so, invasive techniques such as angiography are not required frequently. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Sekvestar pluća predstavlja nefunkcionalno plućno tkivo, odvojeno od bronhijalnog stabla sa vaskularizacijom koju dobija od sistemskih arterija. U radu su prikazana tri pacijenta koji su primljeni na dopunsko ispitivanje i lečenje zbog neregredirajućih pneumonija. Kod svih su urađeni: radiografije pluća i srca iz dva pravca, kompjuterizovana tomografija grudnog koša i angiografija. U sva tri slučaja, na radiografijama grudnog koša uočene su tumorolike, neoštro ograničene senke u posteriornim delovima pluća. Nalaz na kompjuterizovanoj tomografiji odgovarao je solidno-cističnim tumorskim promenama, a angiografski je dokazana anomalija vaskularizacije iz sistemskih arterija koje potiču od aorte do uočene promene u plućima. Ovaj nalaz je karakterističan za sekvestar, za razliku od radiografskog i nalaza kompjuterizovane tomografije. Danas je moguće uz pomoć kompjuterizovane tomografije i magnetne rezonancije pouzdano preoperativno dijagnostikovati plućni sekvestar pa će angiografija kao invazivna metoda sve manje biti u upotrebi. Sva tri pacijenta su operisana i analizom operativnog materijala je potvrđena dijagnoza intralobarnog sekvestra. [ABSTRACT FROM AUTHOR]
    • Abstract:
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