Extralobar pulmonary sequestration

Ulys, Albertas; Samalavičius, Narimantas Evaldas; Cicėnas, Saulius; Petraitis, Tadas; Trakymas, Mantas; Sheinin, Dmitrij; Gatijatullin, Leonid

doi:10.2147/imcrj.s15261

Cited by 10 publications

(4 citation statements)

References 15 publications

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“… 7 How to diagnose and treat intra-abdominal extralobar pulmonary sequestration remains a controversial topic. 19 In the present case, the laparoscopic surgical excision of the mass allowed the definitive diagnosis to be attained. Histopathological examination of the surgical specimen confirmed the nature of the lesion.…”

Section: Discussionmentioning

confidence: 67%

Atypical presentation of intra-abdominal extralobar pulmonary sequestration detected in prenatal care: a case report

Costa

Leite

et al. 2016

Revista Paulista de Pediatria (English Edition)

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Objective:To describe an unusual clinical presentation of intra-abdominal extralobar pulmonary sequestration in a 2-year, 9 month-old patient and assess diagnostic and treatment aspects of this pathology.Case description:An undefined intra-abdominal mass was identified in the right adrenal region in a male fetus. Postnatal evaluation with ultrasound images, computed tomography, magnetic resonance imaging and laboratory testing was insufficient to determine the nature of the lesion. After two years, laparoscopic resection of the mass and histopathological examination of the surgical specimen allowed to establish the diagnosis of intra-abdominal extralobar pulmonary sequestration.Comments:This malformation can be monitored clinically; however, surgical excision is often performed, probably due to the impossibility of attaining diagnosis with non-invasive methods, such as in the present case, in which the lesion appeared in an unusual position for intra-abdominal extralobar pulmonary sequestration. Therefore, the surgical approach seems to be the key to attain the diagnosis and establish the conduct for this type of congenital malformation.

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Section: Discussionmentioning

confidence: 67%

Atypical presentation of intra-abdominal extralobar pulmonary sequestration detected in prenatal care: a case report

Costa

Leite

et al. 2016

Revista Paulista de Pediatria (English Edition)

View full text Add to dashboard Cite

show abstract

“…, 18 Complications related to asymptomatic pulmonary sequestration, not connected with the lung such as malignant degeneration, are rare and therefore the conservative management of the malformation is an advantageous possibility 7. How to diagnose and treat intra-abdominal extralobar pulmonary sequestration remains a controversial topic 19. In the present case, the laparoscopic surgical excision of the mass allowed the definitive diagnosis to be attained.…”

Section: Discussionmentioning

confidence: 83%

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

Costa

Leite

et al. 2016

Revista Paulista de Pediatria

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This malformation can be monitored clinically; however, surgical excision is often performed, probably due to the impossibility of attaining diagnosis with non-invasive methods, such as in the present case, in which the lesion appeared in an unusual position for intra-abdominal extralobar pulmonary sequestration. Therefore, the surgical approach seems to be the key to attain the diagnosis and establish the conduct for this type of congenital malformation.

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“…In PS, the drainage of blood vessels mostly comes from the pulmonary vein (90.02%), followed by the azygos vein (4.2%), postcava (0.74%), and vena phrenica (0.21%) [6]. In most cases of ILS, the draining vein is a pulmonary vein, whereas in most cases of ELS, it is a systemic vein [7].…”

Section: Introductionmentioning

confidence: 99%

Computed Tomography Imaging Features of Pulmonary Sequestration

Yang,

Wang,

Qiang

et al. 2023

JVD

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Background: Pulmonary sequestration (PS), generally diagnosed using computed tomography pulmonary angiography (CTPA), is a rare congenital developmental malformation of the lung that is characterized by nonfunctional lung tissue, independent of the normal lung tissue. This paper summarizes the imaging features of the supplying arteries and draining vessels in patients with PS with an aim to assist in timely clinical diagnosis and operation guidance. Materials and Methods: A total of 55 patients with PS diagnosed using CTPA from multiple clinical centers were retrospectively analyzed. Data included demographic characteristics, imaging features, disease location, isolation type, and the features of supplying and draining vessels, as shown on CTPA images. Results: Of the 55 patients reviewed, 3 (5.45%) were children, 3 (5.45%) were adolescents, and 49 (89.09%) were adults; the mean age was 44 years. Fifty-four (98.18%) patients had intralobar sequestration and one (1.82%) had extralobar sequestration. PS was noted 3.5 times more frequently in the left lower lobe than in the right lower lobe. For the supplying arteries, 47 (85.45%) were derived from the descending thoracic aorta, 1 (1.82%) from the abdominal aorta, 7 (12.73%) from the celiac axis, and 1 (1.82%) from the bronchial artery. The draining vessels were the pulmonary veins in 49 patients (89.09%), the umbilical vein in 1 (1.82%), the venae intercostal in 1 (1.82%), the pulmonary arteries in 11 (20.00%), and the vessels were not shown on the images in 2 patients (3.64%). Conclusion: Clinical presentations of PS are non-specific and can be easily missed or misdiagnosed. However, CTPA can help to improve the diagnostic accuracy and identify the supplying arteries and draining vessels, which significantly contribute to surgical planning.

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Extralobar pulmonary sequestration

Cited by 10 publications

References 15 publications

Atypical presentation of intra-abdominal extralobar pulmonary sequestration detected in prenatal care: a case report

Atypical presentation of intra-abdominal extralobar pulmonary sequestration detected in prenatal care: a case report

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

Computed Tomography Imaging Features of Pulmonary Sequestration

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