Hybrid Lesion: Extralobar Sequestration With Cystic Adenomatoid Malformation – Misdiagnosed As Pulmonary Tuberculosis

Naumeri, Fatima; Sajjad, Muhammad Nadeem

doi:10.29271/jcpsp.2018.09.s204

Cited by 5 publications

(3 citation statements)

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“…2,3 From the literature review performed, these lesions usually tend to be symptomatic during the neonatal or infancy period and rarely present during childhood. 4,5,6,7,8,9 However Pierre Goussard et al 10 and Fatima Naumeri et al 11 , reported hybrid lesions in older children, who presented with lung infection, similar to our case. Therefore, a hybrid lung lesion should be kept in mind as a differential diagnosis in children presenting with recurrent pneumonia.…”

Section: Discussionsupporting

confidence: 86%

Hybrid Lung lesion: An Accidental Finding

et al. 2023

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Hybrid lung lesions are a rare entity which consists of congenital lung malformations with both cystic and solid components also with vascular supply consistent with bronchopulmonary sequestration. In view of the peculiar behavior of this lesions, there is no clear cut gold standard guideline on its investigation nor management techniques. We reported case of a 6 year old boy with a hybrid lesion consisting of an intralobar pulmonary sequestration associated with a type II Congenital Pulmonary Airway Malformation (CPAM) who presented as a case of complicated pneumonia. The lesion was diagnosed via a Contrast Enhanced Computerized Tomography (CECT). Child underwent a thoracotomy and left lower lobe lobectomy and histopathology examination confirmed our diagnosis. A literature review showed our case to be the first case of a hybrid lesion in a child reported in Malaysia.

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Section: Discussionsupporting

confidence: 86%

Hybrid Lung lesion: An Accidental Finding

et al. 2023

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“…In all our patients, the histopathological analysis of resected IDEPS showed hybrid lesions with CPAM elements, with rhabdomyomatous dysplasia in one. As shown also by our series of CLM, CPAM elements are more frequently associated to ILS then ELS ( 10 , 20 – 26 ). Hybrid lesions are defined carrying features of CPAM (both at histology and at imaging evaluation) within a portion of pulmonary tissue separate from the airways (BPS) and anomalous blood supply.…”

Section: Discussionsupporting

confidence: 78%

Intradiaphragmatic pulmonary sequestrations: a surgical challenge. Case series

et al. 2023

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Bronchopulmonary sequestrations (BPSs) are rare congenital anomalies characterized by non-functioning embryonic lung tissue receiving anomalous blood supply. They are most commonly located within the thorax (supradiaphragmatic) or into the abdominal cavity (infradiaphragmatic). Intradiaphragmatic extralobar BPs (IDEPS) are an exceptionally rare finding, representing a diagnostic and operative challenge. We report three cases of IDEPS and their surgical management, describing our experience and approach to such rare clinical entities. From 2016 to 2022, we treated 3 cases of IDEPS. Surgical techniques, histopathological findings and clinical outcomes were retrospectively evaluated for each case and compared. Three different surgical techniques were used to approach each lesion, from open thoracotomy to a combined laparoscopic and thoracoscopic approach. Histopathological analysis of the specimens revealed hybrid pathological features, proper of both congenital pulmonary airway malformation (CPAM) and extralobar pulmonary sequestration. IDEPS represent a surgical challenge for pediatric surgeons, given their complex surgical planning. In our experience, the thoracoscopic approach is safe and feasible when performed by trained surgeons, even though a combined thoracoscopic-laparoscopic approach allows for optimal vessels control. The presence of CPAM elements within the lesions supports their surgical removal. Additional studies are required to better characterize IDEPS and their management.

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“…Bronchial atresia (BA) typically occurs near the central area of the lung, most commonly in the left upper lobe of the lung, and bronchial mucus plugs are often seen in the distal atresia segment. BA is a well-accepted abnormality in the majority of congenital cystic lung lesions [17,18,21]. BA refers to a lack of communication between the central airway and segmental or subsegmental bronchus.…”

Section: Discussionmentioning

confidence: 99%

Computed Tomography Imaging Features of Pulmonary Sequestration

Yang,

Wang,

Qiang

et al. 2023

JVD

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Background: Pulmonary sequestration (PS), generally diagnosed using computed tomography pulmonary angiography (CTPA), is a rare congenital developmental malformation of the lung that is characterized by nonfunctional lung tissue, independent of the normal lung tissue. This paper summarizes the imaging features of the supplying arteries and draining vessels in patients with PS with an aim to assist in timely clinical diagnosis and operation guidance. Materials and Methods: A total of 55 patients with PS diagnosed using CTPA from multiple clinical centers were retrospectively analyzed. Data included demographic characteristics, imaging features, disease location, isolation type, and the features of supplying and draining vessels, as shown on CTPA images. Results: Of the 55 patients reviewed, 3 (5.45%) were children, 3 (5.45%) were adolescents, and 49 (89.09%) were adults; the mean age was 44 years. Fifty-four (98.18%) patients had intralobar sequestration and one (1.82%) had extralobar sequestration. PS was noted 3.5 times more frequently in the left lower lobe than in the right lower lobe. For the supplying arteries, 47 (85.45%) were derived from the descending thoracic aorta, 1 (1.82%) from the abdominal aorta, 7 (12.73%) from the celiac axis, and 1 (1.82%) from the bronchial artery. The draining vessels were the pulmonary veins in 49 patients (89.09%), the umbilical vein in 1 (1.82%), the venae intercostal in 1 (1.82%), the pulmonary arteries in 11 (20.00%), and the vessels were not shown on the images in 2 patients (3.64%). Conclusion: Clinical presentations of PS are non-specific and can be easily missed or misdiagnosed. However, CTPA can help to improve the diagnostic accuracy and identify the supplying arteries and draining vessels, which significantly contribute to surgical planning.

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Hybrid Lesion: Extralobar Sequestration With Cystic Adenomatoid Malformation – Misdiagnosed As Pulmonary Tuberculosis

Cited by 5 publications

References 0 publications

Hybrid Lung lesion: An Accidental Finding

Hybrid Lung lesion: An Accidental Finding

Intradiaphragmatic pulmonary sequestrations: a surgical challenge. Case series

Computed Tomography Imaging Features of Pulmonary Sequestration

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