Extralobar Pulmonary Sequestration in the Right Upper Thoracic Region

Cserni, Tamás; Józsa, Tamás; Szőlősi, Zoltán; Nagy, Béla

doi:10.1159/000087180

Cited by 4 publications

(5 citation statements)

References 31 publications

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“…No recurrences or further (1,10) and 85.7% in our operation group. ELS is more frequently associated with other congenital malformations such as hypoplasia, congenital cystic adenomatoid malformation, congenital lobar emphysema, or bronchogenic cyst (2,11). Four of our patients were diagnosed with ELS combined with bronchogenic cyst.…”

mentioning

confidence: 77%

“…Pulmonary sequestration (PS), which accounts for less than 6.4% of all congenital pulmonary malformations, exhibits three major features: an aberrant blood supply of a large caliber artery, a bronchial anomaly and dysgenesis of the parenchyma (1)(2)(3). There are two types of PS: intralobar pulmonary sequestration (ILS) and extralobar pulmonary sequestration (ELS).…”

Section: Introductionmentioning

confidence: 99%

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Retrospective review of the diagnosis and treatment of pulmonary sequestration in 28 patients: surgery or endovascular techniques?

Zhang¹,

Wang²,

Yang³

et al. 2017

J. Thorac. Dis.

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mentioning

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Retrospective review of the diagnosis and treatment of pulmonary sequestration in 28 patients: surgery or endovascular techniques?

Zhang¹,

Wang²,

Yang³

et al. 2017

J. Thorac. Dis.

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“…It exhibits three major features: an aberrant blood supply of a large caliber artery, a bronchial anomaly and dysgenesis of the parenchyma [6]. The etiology of pulmonary sequestration is unknown, but it is usually considered to be a foregut malformation [1,5].…”

Section: Discussionmentioning

confidence: 99%

“…Extralobar pulmonary sequestration is frequently located between the left lower lobe and diaphragm. Rare infradiaphragmatic, intraabdominal, intrapericardial, mediastinal or upper thoracic region locations have been reported [6,8]. The patients are usually asymptomatic and are generally discovered by chance during routine CxR [8].…”

Section: Discussionmentioning

confidence: 99%

Extralobar pulmonary sequestration: a case report

Yılmaz

Bektemür²,

Ekinci

et al. 2015

Monaldi Arch Chest Dis

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Pulmonary sequestration is defined as a portion of abnormal lung tissue that does not communicate with the tracheobronchial tree through a normally located bronchus and has an abnormal vascular supply [1]. It was first described by Rektorzik in 1861, but the term "sequestration" was introduced by Pryce in 1946 in a 7-case report [2,3]. This extremely rare disorder accounts for 0.16% to 6.4% of all pulmonary congenital malformations [3]. Depending on its location, pulmonary sequestration is generally subdivided into intralobar and extralobar sequestration [4]. Extralobar pulmonary sequestration accounts for 14%-25% of cases [2]. It is most frequently diagnosed in the first 6 months of life, but is seen incidentally, though rarely, in older children and adults [5]. We present an adult case with extralobar pulmonary sequestration. Case ReportA 36-year-old Turkish female, a non-smoker, was admitted to our department with complaints of chest and back pain for five years. Her past history was unremarkable. A chest X-ray (CxR) showed an area of opacity behind the cardiac silhouette in the lower area of the left hemithorax (figure 1). On admission, her resting pulse rate was 86 beats per min., blood pressure 100/70 mmHg, and respiratory rate 18 breaths per min. Her respiratory system and general examinations revealed no significant abnormalities. Full blood count and biochemical tests were normal. Erythrocyte sedimentation rate was 20 mm/h. During hospital stay, the patient was given a course of antibiotics, but opacity in the left lower area persisted. A Computed Tomography (CT) scan of the thorax with intravenous contrast showed a 9 x 7 cm in size ovoid mass with necrosis in the lower left lobe. It revealed two aortic branches directed toward the pulmonary opacity (figure 2), which is consistent with a suspicion of pulmonary sequestration. Bronchoscopic examination revealed a normal endobronchial appearance. Bronchial lavage examination was negative for acid-fast bacilli. Her thoracic Magnetic Resonance (MR) angiography showed an arterial supply from descending thoracic aorta. Pulmonary functional tests were within normal limits. The patient was referred to surgery, and a left-sided thoracotomy was performed. The lesion was located within the pleural space between the diaphragm and the lower lobe. Four arteries arising from the descending aorta were identified. The anomalous pulmonary tissue was removed by mass excision. Pathologic examination of surgical material obtained diagnosis of extralobar pulmonary sequestration. The patient still remains in excellent condition after nearly two years from the operation. We described the case of a 36-year-old Turkish female with an extralobar pulmonary sequestration who suffered from chest and back pain for five years without any evidence of pulmonary infection. A chest X-ray showed an area of opacity behind the cardiac silhouette in the lower area of the left hemithorax. A CT scan of the thorax with intravenous contrast showed a 9 x 7 cm in size ovoid mass with necrosis in the...

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“…3 The sequestrations generally receive a systemic arterial supply from the descending thoracic aorta, but may rarely receive their arterial supply from other systemic arteries, including the subclavian artery, the innominate artery, intercostal arteries, the branches of the abdominal aorta and coronary arteries. 1,4 In 95% of the cases, venous drainage occurs through the pulmonary vein into the left atrium. 1 The diagnosis of TLS can be suspected on the plain X-ray of the chest, which shows a ground glass appearance of the hemithorax, without displacement of the cardiac shadow.…”

Section: Unilateral Total Lung Sequestration: a Rare Conditionmentioning

confidence: 99%

Unilateral Total Lung Sequestration: A Rare Condition

Pandey

Gujral

et al. 2011

J Paediatrics Child Health

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extensive caseous necrosis. No neoplastic cells were detected. Tuberculin skin test was positive (17 mm, vesicular). There was no history of contact with a TB-positive patient. The diagnosis of the chest wall TB was made in view of histopathologic and image studies and the positive result of the tuberculin skin test. The patient underwent anti-TB treatment Such localisation of a TB process is rare in pulmonological practice 1 accounting for 1-2% of TB cases.2 Tuberculous chest wall abscess may involve sternum, osteocartilaginous articulations, costal arches, costovertebral joints and vertebrae. The most common localisation is along costal arches and sternal margins. Chest computed tomography (CT) is recognised as a diagnostic tool of choice for the differential diagnosis of chest wall tumours. It allows for assessment of the nature and extent of the pathologic lesions in soft tissues and associated erosions of the bone structures as well as to examine lungs and mediastinum.3,4 A biopsy is required for histopathologic confirmation. UNILATERAL TOTAL LUNG SEQUESTRATION: A RARE CONDITIONA 3-day-old full-term male neonate presented to the Department of Pediatric Surgery at a university hospital with complaint of respiratory distress. On examination, the baby was in severe respiratory distress. Abdominal examination was noninformative. On auscultation of the chest, heart sounds were not displaced. The respiratory sounds were absent on the left side.There was history of respiratory distress since birth for which the attendants were taking some treatment from a physician. The details of the physician and the treatment provided were not available as they had no records with them. When the condition of the baby deteriorated, he was referred to us.Immediate endotracheal intubation was done. After stabilization, an X-ray of the patient was taken which showed a ground glass appearance of the left hemithorax (Fig. 1). This was followed by the computerised tomography (CT) scan of the thorax, which revealed a mass in whole of the left hemithorax (Fig. 1), supplied by a systemic artery arising from the aorta. Thus, the diagnosis of left total lung sequestration (TLS) was made. Unfortunately, the patient deteriorated again and expired before any operative intervention could be done.Pulmonary sequestration (PS) is defined as non-functioning lung tissue that is not in normal continuity with the tracheobronchial tree and derives its blood supply from systemic vessels.1 It has three main variants: intralobar, extralobar and communicating bronchopulmonary foregut malformations.2 An intralobar sequestration shares the visceral pleural covering of an otherwise normal pulmonary lobe, whereas an extralobar sequestration is separated from normal lung by its own pleural covering.TLS is an extremely rare condition where the whole of one lung is sequestrated. PS is the second most common congenital lung anomaly 2 and constitutes 0.15-6.4% of all congenital pulmonary malformations.1 The exact embryological cause for this condition is not clea...

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Extralobar Pulmonary Sequestration in the Right Upper Thoracic Region

Cited by 4 publications

References 31 publications

Retrospective review of the diagnosis and treatment of pulmonary sequestration in 28 patients: surgery or endovascular techniques?

Retrospective review of the diagnosis and treatment of pulmonary sequestration in 28 patients: surgery or endovascular techniques?

Extralobar pulmonary sequestration: a case report

Unilateral Total Lung Sequestration: A Rare Condition

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