INTRODUCTION: Pulmonary sequestration is a rare congenital anomaly and most intralobar sequestrations were located in lower lobes. There is little information on middle lobe intralobar sequestration. PRESENTATION OF CASE: A 44 year-old man with right middle lobe syndrome was referred for surgical management. He underwent video-assisted thoracoscopic right middle lobectomy and his postoperative course was uneventful. Pathology is notable for an incidental intralobar sequestration. DISCUSSION: Our case was unique in that the location of incidental pulmonary sequestration is uncommon and in that its feeding artery was uncommonly located in the fissure. CONCLUSION: We report an extremely rare case of right middle lobe intralobar sequestration with a feeding artery in the fissure.
INTRODUCTION: Pulmonary sequestration is a rare congenital anomaly and most intralobar sequestrations were located in lower lobes. There is little information on middle lobe intralobar sequestration. PRESENTATION OF CASE: A 44 year-old man with right middle lobe syndrome was referred for surgical management. He underwent video-assisted thoracoscopic right middle lobectomy and his postoperative course was uneventful. Pathology is notable for an incidental intralobar sequestration. DISCUSSION: Our case was unique in that the location of incidental pulmonary sequestration is uncommon and in that its feeding artery was uncommonly located in the fissure. CONCLUSION: We report an extremely rare case of right middle lobe intralobar sequestration with a feeding artery in the fissure.