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We present the case of a male patient in his late 60s with a persistent non-productive cough, in whom imaging revealed a sequestered lung segment with a feeding vessel arising directly from the descending aorta. This case emphasises the importance of recognising that congenital pulmonary anomalies such as sequestration can present for the first time in older adults. Early recognition is crucial to avoid misdiagnosis as malignancy or chronic infection and to ensure that patients receive the appropriate, individualised management.<\/jats:p>","DOI":"10.1136\/bcr-2025-270480","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T15:30:21Z","timestamp":1768404621000},"page":"e270480","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Bronchopulmonary sequestration in an adult patient in his late 60s"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-6147-3731","authenticated-orcid":false,"given":"Maryam Khir","family":"Yousef RezkAllah","sequence":"first","affiliation":[{"name":"General Surgery, West Suffolk NHS Foundation Trust West Suffolk Hospital, Bury St Edmunds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anita","family":"Lazarevska","sequence":"additional","affiliation":[{"name":"Clinical Radiology, West Suffolk NHS Foundation Trust West Suffolk Hospital, Bury St Edmunds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,1,14]]},"reference":[{"key":"2026011407301792000_19.1.e270480.1","doi-asserted-by":"crossref","first-page":"433","DOI":"10.2214\/ajr.180.2.1800433","article-title":"Prenatal sonography and MR imaging of pulmonary sequestration","volume":"180","author":"Dhingsa","year":"2003","journal-title":"AJR Am J Roentgenol"},{"key":"2026011407301792000_19.1.e270480.2","first-page":"1355","article-title":"Pulmonary sequestration in children: a clinical analysis of 48 cases","volume":"7","author":"Ou","year":"2014","journal-title":"Int J Clin Exp Med"},{"key":"2026011407301792000_19.1.e270480.3","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1053\/j.sempedsurg.2017.09.001","article-title":"Long-term outcomes of congenital lung malformations","volume":"26","author":"Hall","year":"2017","journal-title":"Semin Pediatr Surg"},{"key":"2026011407301792000_19.1.e270480.4","doi-asserted-by":"publisher","DOI":"10.1136\/thx.34.1.96"},{"key":"2026011407301792000_19.1.e270480.5","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.175.4.1751005"},{"key":"2026011407301792000_19.1.e270480.6","doi-asserted-by":"crossref","first-page":"E188","DOI":"10.21037\/jtd.2017.02.82","article-title":"Transarterial embolization of intralobar pulmonary sequestration in a young adult with hemoptysis","volume":"9","author":"Zener","year":"2017","journal-title":"J Thorac Dis"},{"key":"2026011407301792000_19.1.e270480.7","doi-asserted-by":"crossref","first-page":"993","DOI":"10.2214\/ajr.175.4.1750993","article-title":"Coil embolization of pulmonary sequestration in two infants: a safe alternative to surgery","volume":"175","author":"Tokel","year":"2000","journal-title":"AJR Am J Roentgenol"},{"key":"2026011407301792000_19.1.e270480.8","doi-asserted-by":"publisher","DOI":"10.1007\/s002470000332"},{"key":"2026011407301792000_19.1.e270480.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2013.11.081"},{"key":"2026011407301792000_19.1.e270480.10","first-page":"E62","article-title":"Carcinoid tumorlets arising in intralobar pulmonary sequestration","volume":"5","author":"Iftikhar","year":"2013","journal-title":"J Thorac Dis"},{"key":"2026011407301792000_19.1.e270480.11","doi-asserted-by":"crossref","DOI":"10.1186\/s12890-018-0663-z","article-title":"Pulmonary sequestration in adults: a retrospective review of resected and unresected cases","volume":"18","author":"Alsumrain","year":"2018","journal-title":"BMC Pulm Med"},{"key":"2026011407301792000_19.1.e270480.12","doi-asserted-by":"publisher","DOI":"10.1378\/chest.106.3.954"},{"key":"2026011407301792000_19.1.e270480.13","doi-asserted-by":"publisher","DOI":"10.1177\/02841851960373P288"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-270480","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T15:30:22Z","timestamp":1768404622000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-270480"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":13,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1,14]]},"published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1136\/bcr-2025-270480"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-270480","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}