scholarly journals An Unusual Left Upper Quadrant Mass: A Bronchopulmonary Foregut Malformation

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
R. L. McDermott ◽  
D. O. Kavanagh ◽  
W. Bartosik ◽  
C. Quinn ◽  
P. R. O'Connell
Keyword(s):  
Preoperative Evaluation ◽  
Pulmonary Sequestration ◽  
Postoperative Recovery ◽  
Thoracic Cavity ◽  
En Bloc ◽  
Epigastric Discomfort ◽  
Bronchopulmonary Foregut Malformation ◽  
Left Hemidiaphragm ◽  
Uneventful Postoperative Recovery ◽  
Foregut Malformation

We report a case of a lady who presented with epigastric discomfort. Physical examination revealed a large left upper quadrant mass filling the left upper quadrant. Following extensive preoperative evaluation, she underwent resection of this centimeter mass withen blocexcision of a portion of the left hemidiaphragm. She made an uneventful postoperative recovery. Histopathology revealed a bronchopulmonary foregut malformation with pulmonary sequestration. This developmental anomaly of the foregut typically occurs in the thoracic cavity; however, it can occur below the diaphragm. Herein we report a case and a detailed review of the embryology, clinical features, and management of these extremely rare clinical entities.

scholarly journals Congenital communicating bronchopulmonary foregut malformation including ectopic pancreatic tissue in an infant

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Noboru Oyachi ◽  
Fuminori Numano ◽  
Keiichi Koizumi ◽  
Tamao Shinohara ◽  
Hirochika Matsubara
Keyword(s):  
Abdominal Cavity ◽  
Pulmonary Sequestration ◽  
Male Infant ◽  
Pancreatic Tissue ◽  
Lung Abscess ◽  
Cartilage Tissue ◽  
Esophageal Wall ◽  
Bronchopulmonary Foregut Malformation ◽  
Foregut Malformation ◽  
Ectopic Pancreatic Tissue

Abstract Background Several reports have documented that the pulmonary sequestration is in communication with the gastrointestinal tract and the concept of bronchopulmonary foregut malformation (BPFM) has become more widespread. However, there are few reports of the sequestration associated with the pancreas derived from the foregut. We describe the history and pathophysiology of BPFM including pancreatic tissue in a male infant with respiratory distress. Case presentation A male patient was born at 38 weeks of gestation and weighed 2752 g at birth. He developed pneumonia and was hospitalized at 3 months of age. Chest radiographs and CT scans led to the diagnosis of a lung abscess in the left lower intralobar pulmonary sequestration with aberrant arteries from the abdominal cavity. At 4 months of age, when the abscess had resolved, left lower lobectomy and the resection of the intralobar sequestration were performed. The pulmonary sequestration was conjoined with the esophagus. A fistula was found between the lower esophageal wall and the pulmonary sequestration. An additional small segment of the esophageal wall was excised. Histologically, the mediastinal surface of the sequestration tissue contained pancreatic tissue. Furthermore, esophageal and gastric tissue, cartilage tissue, and ciliated epithelium were confirmed. A definitive diagnosis of BPFM was made. Conclusions We postulated the rare case of a communicating BPFM with intrapulmonary sequestration on one end and the esophagus on the other forming a mass lesion, which included ectopic pancreatic tissue in a male infant.

scholarly journals Communicating Bronchopulmonary Foregut Malformation Type III with Pulmonary Sequestration Diagnosed in a Newborn: A Case Report

2019 ◽  
Vol 26 (4) ◽  
pp. 223-228
Author(s):  
Su Kyung Kim ◽  
Jin Wha Choi ◽  
Hong Kwan Kim ◽  
Se In Sung ◽  
Yun Sil Chang ◽  
...  
Keyword(s):  
Case Report ◽  
Pulmonary Sequestration ◽  
Bronchopulmonary Foregut Malformation ◽  
Type Iii ◽  
Foregut Malformation

Subphrenic bronchopulmonary foregut malformation with pulmonary-sequestration-like features

2003 ◽  
Vol 53 (5) ◽  
pp. 313-316 ◽  
Author(s):  
Jun Matsubayashi ◽  
Tsuyoshi Ishida ◽  
Takashi Ozawa ◽  
Tatsuya Aoki ◽  
Yasuhisa Koyanagi ◽  
...  
Keyword(s):  
Pulmonary Sequestration ◽  
Bronchopulmonary Foregut Malformation ◽  
Foregut Malformation

Esophagus-Like Bronchus: A Noncommunicating Bronchopulmonary Foregut Malformation

2021 ◽  
pp. 106689692110022
Author(s):  
Jenny L. Weon ◽  
Stephen Megison ◽  
Charles F. Timmons ◽  
Dinesh Rakheja
Keyword(s):  
Left Lung ◽  
Lower Lobe ◽  
Tracheobronchial Tree ◽  
Pulmonary Infections ◽  
Bronchopulmonary Foregut Malformation ◽  
Radiologic Examination ◽  
Foregut Malformation

We describe a previously unreported bronchopulmonary foregut malformation wherein a segment of a bronchus of the lower lobe of the left lung in a 4-year-old girl was entirely esophageal in structure. No communication was identified between the tracheobronchial tree and the esophagus by radiologic examination or at surgery. The esophagus-like bronchus was associated with an adjacent atretic bronchus and a downstream cavity in the lower lobe of the left lung. The child sought clinical attention because of recurrent pulmonary infections localized to the lower lobe of the lung. We posit that this esophagus-like bronchus is a novel noncommunicating bronchopulmonary foregut malformation.

Recovery of diaphragm function after laparotomy and chronic sonomicrometer implantation

1989 ◽  
Vol 66 (2) ◽  
pp. 613-621 ◽  
Author(s):  
P. A. Easton ◽  
J. W. Fitting ◽  
R. Arnoux ◽  
A. Guerraty ◽  
A. E. Grassino
Keyword(s):  
Tidal Volume ◽  
Respiratory Rate ◽  
Breathing Pattern ◽  
Recovery Process ◽  
Postoperative Recovery ◽  
Postmortem Examination ◽  
Midline Laparotomy ◽  
Left Hemidiaphragm ◽  
Direct Measurements ◽  
Phrenic Stimulation

If sonomicrometry transducers could be implanted permanently into the diaphragm, direct measurements of costal and crural length and shortening could be made during recovery from the laparotomy and then indefinitely in an awake, non-anesthetized mammal. We report results from six canines in which we successfully implanted transducers onto the left hemidiaphragm through a midline laparotomy and measured segmental shortening and ventilation at intervals through 22 days of postoperative recovery. After laparotomy, breathing pattern, including tidal volume, respiratory rate and mean inspiratory flow, stabilized by the 4th postoperative day (POD). Tidal shortening of costal and crural segments increased from 1.82 and 1.45% of end-expiratory length (%LFRC) on the 2nd POD to 5.32 and 8.56% LFRC, respectively, after a mean of 22 POD. Segmental shortening did not stabilize until 10 POD, and the recovery process displayed a sequence of segmental motions: lengthening, biphasic inspiratory lengthening-shortening, and increasing simple shortening. Three weeks after implantation, costal and crural segments were stable and shortening 5.32 and 8.56% LFRC, respectively, and capable of shortening 49% LFRC with maximal phrenic stimulation. In a pair of recovered animals, the initial postoperative dysfunction did not recur after a subsequent, simple laparotomy. At postmortem examination, the chronically implanted sonomicrometer transducers were found to have evoked only a thin fibrotic capsule within the diaphragm.

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