Ipsilateral Intralobar and Subphrenic Pulmonary Sequestration

We present a rare case of coexisting intralobar pulmonary sequestration and ipsilateral subphrenic extralobar sequestration in a 40-year-old woman. This variant of duplicated sequestration is very rare, although cases of simultaneous intralobar and extralobar sequestration have been reported, as have rare instances of subphrenic sequestration. In this case, preoperative imaging defined both intralobar and extralobar sequestrations, and after lobectomy for the symptomatic intralobar sequestration, the asymptomatic subdiaphragmatic sequestration is being managed conservatively. (Ann Thorac Surg 2010;89:2017-9) (C) 2010 by The Society of Thoracic Surgeons