Intralobar sequestration of the lung is a congenital anomaly: anatomopathological analysis of four cases diagnosed in fetal life.

The origin of intralobar sequestration of the lung (ILS)-whether congenital or acquired--has often been controversial, since firm anatomical evidence of prenatal origin has been sparse. We describe four cases in which anomalous arterial supply from the aorta to abnormally echogenic lower lung lobes was demonstrated on routine antenatal ultrasound examination, and the diagnosis of ILS was subsequently confirmed by postmortem examination including bronchography of the fetuses at between 20 and 23 wk. One right-sided lesion was supplied from a branch of the coeliac axis, and three left-sided lesions were supplied from the thoracic aorta.