Extralobar Pulmonary Sequestration in a 55-Year-Old Man

Han, Xuan; Shi, Kai-Hu; Gong, Wei; Wu, Jiawei

doi:10.5761/atcs.cr.12.01997

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…An angiography is performed in cases where it is difficult to identify the abnormal blood vessels but is not always conducted due to the cost of medical care and the widespread use of contrast-enhanced CT scans. [16] In the present case, the left gastric artery branched directly from the abdominal aorta, and the right diaphragmatic artery branched from its common trunk and was further identified as the inflow artery. The perfusion vein was identified as the pulmonary vein.…”

Section: Discussionmentioning

confidence: 65%

Solitary fibrous tumor resembling pulmonary fractionation disease: A case report

et al. 2023

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Rationale: Preoperative differentiation between pulmonary fractionation and solitary fibrous tumors (SFTs) is challenging. Diaphragmatic primary tumors are relatively rare among SFTs, with limited reports of abnormal vascularity. Patient concerns: A 28-year-old male patient was referred to our department for surgical resection of a tumor near the right diaphragm, Thoracoabdominal contrast-enhanced computed tomography (CT) scan revealed a 10 × 8 cm mass lesion at the base of the right lung. The inflow artery to the mass was an anomalous vessel in which the left gastric artery bifurcated from the abdominal aorta, and its origin was the common trunk and right inferior transverse artery. Diagnosis: The tumor was diagnosed as right pulmonary fractionation disease based on the clinical findings. The postoperative pathological examination determined a diagnosis of SFT. Interventions: The pulmonary vein was used to irrigate the mass. The patient was diagnosed with pulmonary fractionation and underwent surgical resection. Intraoperative findings revealed a stalked, web-like venous hyperplasia anterior to the diaphragm, contiguous with the lesion. An inflow artery was found at the same site. The patient was subsequently treated using a double ligation technique. The mass was partially contiguous with S10 in the right lower lung and stalked. An outflow vein was identified at the same site, and the mass was removed using an automatic suture machine. Outcomes: The patient received follow-up examinations that involved a chest CT scan every 6 months, and no tumor recurrence was reported during 1 year of postoperative follow-up. Lessons: Differentiating between SFT and pulmonary fractionation disease may be challenging during preoperative diagnosis; therefore, aggressive surgical resection should be considered as SFTs may be malignant. Identification of abnormal vessels using contrast-enhanced CT scans may be effective in reducing surgical time and improving the safety of the surgical procedure.

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Section: Discussionmentioning

confidence: 65%

Solitary fibrous tumor resembling pulmonary fractionation disease: A case report

et al. 2023

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“…ELS patients accounted for 16.05% of PS with less clinical symptoms and were often found in routine physical examination, 1,[11][12][13] which only needed removal of the tumor. In our study with six ELS patients, three patients had clinical symptoms, but the preoperative CT scan did not show significant abnormal arterial blood supply; three cases were accidentally discovered when they underwent VATS bullectomy, of which two patients only had chest radiograph before surgery, and one case had chest CT scan, which prompted the right lung lobular large bullae without abnormal mass.…”

Section: Discussionmentioning

confidence: 99%