Intralobar bronchopulmonary sequestration with bronchial communication.

Surgical resection in mmspected intralobar sequestration can result in fatal hemorrhagic complications. The roentgen criteria for establishing tbis diagnosis are: 1) chronic and recurrent pulmonary Wtrate; 2) most often located in b a s k segments of the lower lobes; 3) multiple cystic areas; 4) failure of contrast media to enter the cystic area during broncbography. We studied two cases of intralobar sequestration where on bronchography the contrast medium entered the cystic areas. To our knowledge only four other similar cases are reported in the literature. In our cases the preoperative diagnosis was confirmed by aortogmphy. Since the roentgenographic and bronchographie findings alone would have suggested the possibility of cystic broncbiectasis, the importance of aortography is stressed.