Diagnosis of Intra-Abdominal Extralobar Pulmonary Sequestration by means of Ultrasound in a Neonate

Pulmonary sequestration is a congenital abnormality consisting of a mass of pulmonary tissue that presents an abnormal connection with the tracheobronchial tree, with a blood supply coming from an anomalous artery derived from the systemic circulation. Extralobar pulmonary sequestration is characterized by having pleural coverings that are independent of the normal lungs, with vascular supply usually coming from the aorta or from one of its branches. This diagnosis can be suspected prenatally if an abdominal mass, generally below the diaphragm, is seen. Here, we present a case of a neonate on the second day of life, with ultrasonography showing extralobar pulmonary sequestration located above the left adrenal gland that prenatally simulated a neuroblastoma.

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Sequestration

Chest Imaging ◽

10.1093/med/9780199858064.003.0090 ◽

2019 ◽

pp. 523-526

Author(s):

Kristopher W. Cummings

Keyword(s):

Blood Supply ◽

Incidental Finding ◽

Adult Population ◽

Venous Drainage ◽

Systemic Circulation ◽

Tracheobronchial Tree ◽

Pulmonary Tissue ◽

Arterial Blood ◽

Characteristic Features ◽

Super Infection

Sequestration refers to nonfunctioning pulmonary tissue that is isolated from the tracheobronchial tree and derives its arterial blood supply from the systemic circulation. Intralobar sequestrations are more commonly encountered in the adult population and are characterized by a lack of a separate pleural covering and frequent pulmonary venous drainage. In contrast, extralobar sequestrations are commonly diagnosed in childhood and are surrounded by a separate covering (typically the pleura) with frequent systemic venous drainage. Sequestrations may be encountered in asymptomatic adults as an incidental finding, and may mimic malignancy. Sequestrations may also be found in symptomatic adults because of repeated super-infection. Characteristic features on CT and MR are emphasized in this chapter.

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A histologic study of extralobar pulmonary sequestration and its anomalous artery as a clue to its development

Annals of Anatomy - Anatomischer Anzeiger ◽

10.1016/s0940-9602(02)80104-2 ◽

2002 ◽

Vol 184 (6) ◽

pp. 595-601 ◽

Cited By ~ 4

Author(s):

Katsushi Kawai ◽

Masahiro Koizumi ◽

Satoru Honma ◽

Hirohiko Fujii ◽

Kazuyoshi Shimazu ◽

...

Keyword(s):

Pulmonary Sequestration ◽

Histologic Study ◽

Extralobar Pulmonary Sequestration ◽

Anomalous Artery

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Pulmonary Sequestration Second case series from Iraq

Journal of the Faculty of Medicine Baghdad ◽

10.32007/jfacmedbagdad.6311841 ◽

2021 ◽

Vol 63 (1) ◽

pp. 40-42

Author(s):

Waleed M. Hussen

Keyword(s):

Vascular Surgery ◽

Thoracic Aorta ◽

Blood Supply ◽

Personal Experience ◽

Case Series ◽

Pulmonary Sequestration ◽

Tracheobronchial Tree ◽

Descending Thoracic Aorta ◽

Anomalous Artery ◽

Medical City

Background: Pulmonary sequestration is a lung tissue (out of function), that received its blood supply from anomalous artery and not continuous with the tracheobronchial tree. Aim: To report a personal experience in dealing with five patients with pulmonary sequestration, due to anomalous arterial supply from the descending Thoracic Aorta ,ways of diagnosis and proper surgical management. Patients and Methods: Five patients with pulmonary sequestration, admitted, investigated and surgically managed at the department of Thoracic and Vascular surgery, in the surgical sub specialties hospital of the Medical City Teaching Complex during ten years period (2010-2019). Results : Four of our patients were male, the remaining one was a female, all managed successfully by Operative ligation of the anomalous blood supply and resection of the involved segment or lobe. Conclusion: Resection of the involved segment or lobe after ligation of the anomalous artery offers the best chance of cure.

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Rare cause of haemoptysis: bronchopulmonary sequestration

BMJ Case Reports ◽

10.1136/bcr-2020-239140 ◽

2021 ◽

Vol 14 (3) ◽

pp. e239140

Author(s):

Muhammad Shafiq ◽

Amjad Ali ◽

Ujaas Dawar ◽

Niranjan Setty

Keyword(s):

Imaging Modality ◽

Lower Lobe ◽

Pulmonary Sequestration ◽

Venous Drainage ◽

Systemic Circulation ◽

Tracheobronchial Tree ◽

Recurrent Infections ◽

Bronchopulmonary Sequestration ◽

Intralobar Pulmonary Sequestration ◽

Lower Airways

Bronchopulmonary sequestration is a rare congenital pulmonary abnormality of the lower airways, which includes an abnormal and non-functioning lung tissue not communicating with the tracheobronchial tree and having aberrant blood supply from systemic circulation with variable venous drainage. The incidence of sequestration is around 0.15%–6.4% of all congenital lung malformations.Common presenting features are cough and expectoration. Misdiagnosed cases may present with recurrent infections and haemoptysis. CT of the chest with contrast is the imaging modality of choice.This is a case report of a 32-year-old woman who presented with cough and haemoptysis. CT of the chest showed a multiloculated mass-like lesion in the left lower lobe with a feeding artery from coeliac plexus and venous drainage via the normal left pulmonary vein.Based on CT chest findings, diagnosis of intralobar pulmonary sequestration was made. The patient was reviewed by cardiothoracic surgeons and underwent surgical resection of the sequestrated lung.Common presenting features are cough and expectoration. Misdiagnosed cases may present with recurrent infections and haemoptysis. CT of the chest with contrast is the imaging modality of choice.

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Extralobar pulmonary sequestration in association with congenital cystic adenomatoid malformation: an unusual abdominal mass

ANZ Journal of Surgery ◽

10.1111/j.1445-2197.2011.05807.x ◽

2011 ◽

Vol 81 (7-8) ◽

pp. 556-558

Author(s):

Lukas B. Cheney ◽

Bhaveshkumar Patel ◽

Albert Lam ◽

Susan Arbuckle ◽

Jonathan Morris ◽

...

Keyword(s):

Abdominal Mass ◽

Pulmonary Sequestration ◽

Congenital Cystic Adenomatoid Malformation ◽

Extralobar Pulmonary Sequestration ◽

Cystic Adenomatoid Malformation

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A rare case of coexistent intralobar and extralobar pulmonary sequestration

Open Medicine ◽

10.2478/s11536-012-0090-0 ◽

2013 ◽

Vol 8 (1) ◽

pp. 103-106

Author(s):

Milos Arsenijevic ◽

Slobodanka Mitrovic ◽

Milos Milosavljevic ◽

Marina Petrovic ◽

Predrag Djurdjevic ◽

...

Keyword(s):

Respiratory Tract ◽

Left Lung ◽

Lower Lobe ◽

Pulmonary Sequestration ◽

Tracheobronchial Tree ◽

Functional Disorders ◽

Intralobar Sequestration ◽

Post Surgery ◽

Extralobar Pulmonary Sequestration ◽

Proper Diagnosis

AbstractIn the pathology of respiratory tract, sequestration presents as a non-functional lung tissue with no communication with tracheobronchial tree. It represents a rare congenital bronchopulmonary and vascular malformation, which occurs at a frequency of 0.1 to 6%. Intralobar and extralobar sequestrations are extremely rare congenital anomalies, especially if they occur at the same time in a patient. Proper diagnosis and appropriate surgical therapy, in the absence of associated anomalies, provide an excellent prognosis. In this paper, we are describing the simultaneous presence of intralobar sequestration (ILS) in the lower lobe of the left lung and extralobar sequestration (ELS) which is positioned on the aortic arch, in a 53 years old man. Two years post surgery, there is no recurrence or any patomorphological and functional disorders in the respiratory tract.

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Non-operative management of extralobar pulmonary sequestration: a safe alternative to resection?

Pediatric Surgery International ◽

10.1007/s00383-019-04590-2 ◽

2019 ◽

Vol 36 (3) ◽

pp. 325-331

Author(s):

Victoria K. Robson ◽

Hester F. Shieh ◽

Jay M. Wilson ◽

Terry L. Buchmiller

Keyword(s):

Pulmonary Sequestration ◽

Operative Management ◽

Safe Alternative ◽

Extralobar Pulmonary Sequestration ◽

Non Operative Management

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Real-Time Ultrasound and Color-Doppler Imaging in Pulmonary Sequestration

PEDIATRICS ◽

10.1542/peds.86.4.620 ◽

1990 ◽

Vol 86 (4) ◽

pp. 620-623

Author(s):

BEVERLEY NEWMAN

Keyword(s):

Respiratory Infections ◽

Color Doppler ◽

Pulmonary Sequestration ◽

Color Doppler Imaging ◽

Venous Drainage ◽

Venous System ◽

Doppler Imaging ◽

Normal Lung ◽

Pulmonary Tissue ◽

Arterial Blood

Pulmonary sequestrations are congenital masses of aberrant, nonfunctioning pulmonary tissue that usually do not connect with the bronchial tree and derive their arterial blood supply from systemic vessels, most often the distal thoracic or upper abdominal aorta. The majority of sequestrations are intralobar and contained within the visceral pleura of the normal lung; these usually have their venous drainage to the pulmonary venous system. Extralobar sequestrations have a separate pleural covering and usually drain to systemic veins or the portal venous system.1-3 Patients most often come to clinical attention with repeated respiratory infections.2 The sequestered segment is usually visualized radiographically as a nonaerated opacity at the medial lung base, more often left-sided.

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