Thoracoscopic treatment of a rare bilateral extralobar lung sequestration in a 3-years old girl
https://doi.org/10.4081/pmc.2020.237
Accepted: 28 January 2021
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Majority of sequestrations fall into two categories: Intra-Lobar (ILS) and Extra-Lobar (ELS). Rarely the abnormal lung could be attached to the gastrointestinal tract, Bronchopulmonary Foregut Malformation (BPFM). We described a case of a girl of 3-years-old with antenatal diagnosis of left intrathoracic mass of the inferior lobe. Postnatal Computed-Tomography (CT) revealed a bilateral ELS with an isthmic bridge crossing the vertebral spine. She follows a MRI follow-up at 18months/30months confirming the lesion. Before surgery, a three-dimensional-CT-angiography was performed to study the mass, its blood supply and to plan surgery. She underwent to thoracoscopic resection. Two aberrant blood vessels were dissected from the thoracic aorta and ligated. The postoperative course was uneventful. She was discharged after 3 days. The rarity of our case is due to the bilateral extension. An appropriate preoperatory imaging study is necessary for the success of surgery while thoracoscopy is particularly appropriate in surgical treatment.
Mendeloff EN. Sequestrations, Congenital cystic adenomatoid malformations, and congenital lobar emphysema. Semin Thorac Cardiovasc Surg. 2004; 16(3):209 14, http://dx.doi.org/10.1053/j.semtcvs.2004.08.007. DOI: https://doi.org/10.1053/j.semtcvs.2004.08.007
Qihua Long, Yunfei Zha, Zhigang Yang. Evaluation of pulmonary sequestration with multidetector computed tomography angiography in a select cohort of patients: A retrospective study. CLINICS 2016;71(7):392-398 DOI: https://doi.org/10.6061/clinics/2016(07)07
Savic B, Birtel FJ, Tholen W, Funke HD, Knoche R. Lung sequestration: report of seven cases and review of 540 published cases. Thorax. 1979; 34(1):96–101. DOI: https://doi.org/10.1136/thx.34.1.96
Shabbir Hussain, Shoaib Ahmed, Syed Awais ul Hassan Shah, Saba Haider Tarar A rare cause of recurrent chest infection in children-bronchopulmonary sequestration. J Pak Med Assoc. Vol. 67, No. 2, February 2017
Chouikh T, Berteloot L, Revillon Y, Delacourt C, Khen-Dunlop N. Extralobar pulmonary sequestration with combined gastric and intradiaphragmatic locations. Pediatr Pulmonol 2014;49(05): 512–514 DOI: https://doi.org/10.1002/ppul.22891
Bush A. Prenatal presentation and postnatal management of congenital thoracic malformations. Early Hum Dev 2009;85(11): 679–684 DOI: https://doi.org/10.1016/j.earlhumdev.2009.08.056
Miyagi H, Honda S, Hamada H, Minato M, Ara MW, Taketomi A. One-Stage Laparoscopic Surgery for Pulmonary Sequestration and Hiatal Hernia in a 2-Year-Old Girl. Eur J Pediatr Surg Rep 2018;6:e11–e14. DOI: https://doi.org/10.1055/s-0037-1612611
Davenport M. Warne SA. Cacciaguerra S. Patel S. Greenough A. Nicolaides K. Current outcome of antenally diagnosed cystic lung disease. J Pediatr Surg (2004) 39:549–56. doi: 10.1016/j.jpedsurg.2003.12.021 DOI: https://doi.org/10.1016/j.jpedsurg.2003.12.021
Divjak N¹, Vasseur Maurer S¹, Giannoni E², Vial Y³, De Buys Roessingh A¹, Wildhaber BE¹. Bronchopulmonary Sequestration with Morbid Neonatal Pleural Effusion despite Successful Antenatal Treatment. Front Pediatr. 2017 Dec 4;5:259. doi: 10.3389/fped.2017.00259. eCollection 2017. DOI: https://doi.org/10.3389/fped.2017.00259
Stanton M, Njere I, Ade-Ajayi N, Patel S, Davenport M. Systematic review and meta-analysis of the postnatal management of congenital cystic lung lesions. J Pediatr Surg (2009) 44:1027–33. doi: 10.1016/j.jpedsurg.2008.10.118 DOI: https://doi.org/10.1016/j.jpedsurg.2008.10.118
David M, Lamas-Pinheiro R, Henriques-Coelho T, Prenatal and postnatal management of congenital pulmonary airway malformation. Neonatology (2016) 110:101–15. doi: 10.1159/000440894 DOI: https://doi.org/10.1159/000440894
Choe J¹, Goo HW¹. Extralobar pulmonary sequestration with hemorrhagic infarction in a child: preoperative imaging diagnosis and pathological correlation. Korean J Radiol. 2015 May-Jun;16(3):662-7. DOI: https://doi.org/10.3348/kjr.2015.16.3.662
Fumino S, Iwai N, Kimura O, Ono S, Higuchi K. Preoperative evaluation of the aberrant artery in intralobar pulmonary sequestration using multidetector computed tomography angiography.J Pediatr Surg. 2007; 42(10):1776–9, http://dx.doi.org/10.1016/j.jpedsurg.2007.07.028. DOI: https://doi.org/10.1016/j.jpedsurg.2007.07.028
Johnson PL, Fishman EK, Duckwall JR, Calhoun PS, Heath DG. Interactive three-dimensional volume rendering of spiral CT data: current applications in the thorax. Radiographics. 1998;18(1):165–87, http://dx.doi.org/10.1148/radiographics.18.1.9460115. DOI: https://doi.org/10.1148/radiographics.18.1.9460115
Lu L¹, Zhang C¹, Cheng Y¹. Solitary AAH Arising from Extralobar Sequestration in A Less Than 3-year-old Boy: A Case Report. Zhongguo Fei Ai Za Zhi. 2017 Nov 20;20(11):787-788. doi: 10.3779/j.issn.1009-3419.2017.11.11.
Belchis D, Cowan M, Mortman K, et al. Adenocarcinoma arising in an extralobar sequestration: a case report and review of the literature. Lung Cancer. 2014;84(1):92–95. doi: 10.1016/j.lungcan.2014.01.025. DOI: https://doi.org/10.1016/j.lungcan.2014.01.025
Tokel K, Buyvant F, Varan B. Coil embolization of pulmonary sequestration in two infants: a safe alternative to surgery. Am J Roentgenol 2000; 175: 993-996 DOI: https://doi.org/10.2214/ajr.175.4.1750993
Lee KH, Sung KB, Yoon HK, et al. Trans-catheter arterial embolization of pulmonary sequestration in neonates: long-term follow-up results. J Vasc Intervent Radiol 2003; 14: 363-367. DOI: https://doi.org/10.1097/01.RVI.0000058412.01661.F0
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