Apresentação atípica de sequestro pulmonar extralobar intra‐abdominal detectado no pré‐natal: relato de caso

Costa, Maria Alice Nunes; Costa, Théo Rodrigues; Leite, Maurício Sérgio Brasil; Filho, Fernandes Rodrigues de Souza; Reis, Alexandre Magno Bahia; Pereira, Bruno Paiva; Oliveira, Arthur Magalhães de

doi:10.1016/j.rpped.2015.10.003

Cited by 10 publications

(4 citation statements)

References 18 publications

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“…31 , masses grew in utero and began to regress after birth, but the earliest to regress was 6 months after birth. However, in another case the mass continued to grow until surgical resection was performed at 2 years and 9 months of age 32 . In the present study, spontaneous regression was not noticed in any of the 21 cases.…”

Section: Discussionmentioning

confidence: 98%

“…Since spontaneous regression is possible 31,33 , conservative therapy has been advocated. Today, surgical resection remains the mainstay treatment, because complete excision can eliminate the potential risks of many complications, such as infection and malignant degeneration 32 . The postsurgical (open and laparoscopic) outcomes of isolated IEPS in our study were satisfactory.…”

Section: Discussionmentioning

confidence: 99%

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Prenatal diagnosis of fetal intraabdominal extralobar pulmonary sequestration: a 12-year 3-center experience in China

Zhou

Zeng

et al. 2019

Sci Rep

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To provide useful information for diagnosing and predicting fetal intraabdominal extralobar pulmonary sequestration (IEPS), a retrospective review of diagnostic approaches was conducted. Ultrasonography was performed serially in 21 fetuses with IEPS from 2005 to 2017. Prenatal sonographic features, treatment, and outcomes of each case were evaluated and collected. These cases of IEPS were also compared to 43 cases previously reported by other researchers from 1986 to 2017. Of the 21 sonographic features, 14 (67%) were hyperechoic, 21 (100%) were well circumscribed, and 17 (81%) depicted a mass that shifted with fetal breaths/hiccups non-synchronized with adjacent organs (sliding sign). Feeding arteries were detected prenatally in 18 patients (86%). The lesion volume was 10.17 ± 4.66 cm3, the congenital cystic adenomatoid malformation volume ratio and cardiothoracic ratio were in normal range. The gestational age at diagnosis, location and echotexture of the lesion, and rate of surgical treatment were similar to previous studies, but with a significantly higher rate of detected feeding arteries (P < 0.01), and associated anomalies (P < 0.01). All infants who underwent surgery after birth had satisfactory outcomes. The sliding sign and feeding artery are essential features of IEPS in prenatal diagnosis.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Prenatal diagnosis of fetal intraabdominal extralobar pulmonary sequestration: a 12-year 3-center experience in China

Zhou

Zeng

et al. 2019

Sci Rep

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“…Severe unilateral cases often include a hypovolemic shock, while in bilateral events, signs of hypoadrenocorticism are more evident. Different diagnoses of lesion near or at the adrenal gland include adrenal hemorrhage, adrenal cyst, adrenal abscess, neuroblastoma (NBL) or other solid tumors, congenital adrenal hyperplasia (CAH), pulmonary sequestration, bronchogenic cyst, enteric cyst, splenic cyst and cyst lymphangioma ([12], Fig. 1).…”

Section: Introductionmentioning

confidence: 99%

Adrenal hemorrhage in newborn: how, when and why- from case report to literature review

et al. 2019

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Background Neonatal adrenal hemorrhage is a relatively uncommon condition (0.2–0.55%). Various risk factors have been reported in addition to birth asphyxia, such as sepsis, coagulation disorders, traumatic delivery, and perinatal injuries. Adrenal hemorrhage usually affects the right adrenal gland (about 70% of cases) while it involves the bilateral adrenal gland only in 10% of cases. In most cases, the event is asymptomatic but, in others, it may be so devastating to determine death by bleeding or adrenal insufficiency. Case presentation A case of bilateral neonatal adrenal hemorrhage, with adrenal insufficiency, but with no important risk factors and favorable evolution in a male infant. Conclusions This case emphasizes the importance of keeping a non-interventional attitude, avoiding early surgery but carrying out a serial sonographic follow-up. Serial ultrasound monitoring is the most reliable approach during conservative management. Electronic supplementary material The online version of this article (10.1186/s13052-019-0651-9) contains supplementary material, which is available to authorized users.

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“…8 Lesions with similar appearance and anatomic location on ultrasonography include neuroblastoma, Wilms tumor, adrenal abscess, CAH, adrenal or splenic cyst, and lymphangioma. 9 Historically, it has been hypothesized that adrenal hemorrhage is a likely trigger for adrenal abscess in the newborn period. 10 Neonatal adrenal abscess is an extremely rare condition which may present with fever, irritability, vomiting, and/or abdominal distention.…”

Section: Discussionmentioning

confidence: 99%

A Case Report of Neonatal Vomiting due to Adrenal Hemorrhage, Abscess and Pseudohypoaldosteronism

Piroutek¹

2021

JETEM

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Neonatal adrenal hemorrhage is a rare phenomenon which may occur in utero or in the intrapartum period. This case illustrates ultrasound and subsequent abdominal computed tomography (CT) imaging of a 30-day-old neonate who initially presented with acute vomiting and was found to have an abscess at the site of a previous right-sided adrenal hemorrhage. Ultrasound-guided fine needle aspiration of the abscess was ultimately the key diagnostic and therapeutic intervention, which detected Escherichia coli (E. coli) infection. The discussion addresses the connection between key pathologic features of this case, while reviewing the acute management of clinical sequelae in the emergency department.

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Apresentação atípica de sequestro pulmonar extralobar intra‐abdominal detectado no pré‐natal: relato de caso

Cited by 10 publications

References 18 publications

Prenatal diagnosis of fetal intraabdominal extralobar pulmonary sequestration: a 12-year 3-center experience in China

Prenatal diagnosis of fetal intraabdominal extralobar pulmonary sequestration: a 12-year 3-center experience in China

Adrenal hemorrhage in newborn: how, when and why- from case report to literature review

A Case Report of Neonatal Vomiting due to Adrenal Hemorrhage, Abscess and Pseudohypoaldosteronism

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