Summary

We report a case of a 39-year-old man who presented with coughing up blood for 5 days. On the day of admission, he coughed up about 300 mL of fresh blood. He mentioned that he has had cough for the past 10 years. On clinical examination, he was afebrile, tachypneic, tahycardic and normotensive. Rest of the physical examination was normal. His oxygen saturation breathing room air was 96%. His full blood count showed haemoglobin 9.3 g/dL. His chest radiograph was reported as normal. CT chest showed a vascular right paracardiac soft tissue density. On the basis of this, a diagnosis of pulmonary sequestration was considered. CT angiography of the soft tissue density identified multiple sources of systemic arterial blood. Two arteries were arising from the descending aorta and a third artery was coming from the right renal artery. Surgical removal of the sequestrated lobe was performed. The patient has an uneventful postoperative recovery and remained well at follow-up 2 months after surgery.