Pulmonary sequestration: a retrospective analysis of 2625 cases in China

Wei, Yong; Li, Fan

doi:10.1016/j.ejcts.2011.01.080

Cited by 199 publications

(227 citation statements)

References 13 publications

(13 reference statements)

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“…Almost 90% of ELS occur in the left hemithorax, and 10% of them may present below the diaphragm. Bilateral sequestrations are uncommon, and only three cases had previously been reported; two of these were ILS and one was mixed ILS and ELS [10,11]. In the present study, 78.9% of cases were ILS and 84.2% of our cases were located in the left lower lobe.…”

Section: Discussionmentioning

confidence: 58%

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Pulmonary Sequestrations: Issues Related to Diagnosis, Possible Complications, and Comorbidities

Hazer¹

2016

Ann Clin Anal Med

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ÖzetAmaç: Bronkopulmoner sekestrasyonlar nadir görülen konjenital anomalilerdir. Asemptomatik kalabilecekleri gibi intrapulmoner hematom, hemotoraks ve aspergilloma gibi komplikasyonlar gelişebilir, veya karsinoid tümör, adenokarsinoma, skuamoz hücreli karsinoma, sarkom veya pulmoner blastom gibi malign transformasyonlar gösterebilirler. Bronkopulmoner sekestrasyonlar, diğer konjenital anomaliler ile de beraberlik gösterebilirler. Çalışmamızın amacı sekestrasyonlarda tanı konulması sırasında karşılaşılan zorluklar, eşlik eden konjenital anomaliler ve gelişebilecek komplikasyonların vurgulanması-dır. Gereç ve Yöntem: 2003-2015 yılları arasında kliniğimizde opere edilen 19 bronkopulmoner sekestrasyonlu olgunun bilgileri retrospektif olarak değer-lendirilmiştir. Bulgular: Lezyonlar 16 hastada sol tarafta, 3 hastada sağ tarafta yerleşmekteydi ve 15 hastada intralober iken 4 hastada ekstraloberdi. Başvuru sırasında bir hastada ampiyem ve pnömotoraks, bir hastada hemoptizi, iki hastada plevral efüzyon ve iki hastada tekrarlayan pnömoni şikayet-leri mevuttu. İntralober sekestrasyonlu bir olguda eş zamanlı olarak orta kranial fossada 4 cm çaplı araknoid kist tespit edildi. Ekstralober sekestrasyonlu bir olguda postoperatif histopatolojik incelemede multipl tümörlet alanları ve karsinoid tümör bulundu. Postoperatif bir hastada şilotoraks ve bir hastada transuda plevral efüzyon gelişti. Ortalama hastanede kalış süresi 7,9 (3-26) gündü ve mortalite gelişmedi. Tartışma: Pulmoner sekestrasyon tespit edilen hastalarda gelişebilecek komplikasyonlar ve malign transformasyonlar nedeniyle alınacak olan cerrahi kararı geciktirilmemelidir ve eşlik eden konjenital anomaliler açısından dikkatli olunmalıdır. Anahtar KelimelerSekestrasyon; Cerrahi Tedavi; Konjenital Anomaliler; Malign Transformasyon; Karsinoid Tumor Abstract Aim: Bronchopulmonary sequestrations are a rare congenital anomaly. Although they may remain asymptomatic, complications such as intrapulmonary hematoma, hemothorax, and aspergilloma may occur, or they may undergo malignant transformation to become a carcinoid tumor, adenocarcinoma, squamous cell carcinoma, sarcoma, or pulmonary blastoma. Other congenital anomalies may also be associated with bronchopulmonary sequestrations. Our study aimed to emphasize the difficulties in diagnosis, accompanying congenital anomalies, and possible complications. Material and Method: We retrospectively evaluated data obtained from 19 patients with bronchopulmonary sequestration who underwent surgery in our clinic between 2003 and 2015. Results: Lesions were located on the left side in 16 cases and on the right side in three cases, and 15 cases were intralobar, while four were extralobar. One patient had empyema and pneumothorax, one patient had hemoptysis, two patients had pleural effusion, and two had recurrent pneumonia during admission. A patient with intralobar sequestration had a coexistent 4 cm diameter arachnoid cyst in the right middle cranial fossa. Multiple tumorlet areas and carcinoid tumors were postoperatively determine...

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Section: Discussionmentioning

confidence: 58%

“…ILS constitutes 75 to 90% of BPS [1,9], and the ELS/ ILS ratio is higher in children than in adults. Wei found that BPS is mainly located in the lower lobes, especially in the left lower lobe (71.53%) [10]. Almost 90% of ELS occur in the left hemithorax, and 10% of them may present below the diaphragm.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary Sequestrations: Issues Related to Diagnosis, Possible Complications, and Comorbidities

Hazer¹

2016

Ann Clin Anal Med

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“…Although there are several reports on extralobar pulmonary sequestration in human, but only a few reports of occurrence of this anomaly are present in the veterinary literature [4][5][6] . In humans, pulmonary sequestration represents between 0.15% and 6.45% of all pulmonary malformations [7,8] .…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, later development of the accessory lung bud results in the extralobar type [2,17,18] . A spiral CT with contrast angiography and magnetic resonance imaging (MRI) are the diagnostic techniques of choice [5,7,11,[19][20][21][22][23][24][25][26] . The treatment of an extralobar sequestrum is mainly by surgical excision which removes the mass completely total of the sequestrum to reduce the risk of repeated infection [2,5,7,19,20,[27][28][29] .…”

Section: Discussionmentioning

confidence: 99%

A case report of extralobar pulmonary sequestration in a dog

Kheirandish

Azizi

Alidadi

2012

Asian Pacific Journal of Tropical Biomedicine

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“…The intralobar type accounts for approximately 75% of cases; extralobar pulmonary sequestration accounts for 25% of cases, is located extrapulmonarily and forms its own visceral pleura. 3,4 The majority of these lesions are diagnosed in children; intrauterine diagnosis using prenatal ultrasound and magnet resonance imaging are available. 5 Intrauterine interventional procedures are an exciting new therapeutic option.…”

mentioning

confidence: 99%

Lung Sequestration in an Octogenarian Male

Bonatti¹,

Smorzanek²,

Brennan³

2017

US Respiratory &Amp; Pulmonary Diseases

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Lung sequestration is a congenital disorder in which the lung parenchyma is not attached to the bronchial system, with blood supply originating from the aorta or various peripheral arteries. It may cause chronic pulmonary infection or bleeding and may require surgical resection. An 80-year-old male was incidentally found to have a paravertebral right thoracic mass. Computed tomography scan with contrast suggested a feeding vessel from the supraceliac aorta and suspicion of a lung sequestration was confirmed on selective angiography. He developed chronic cough, but this was managed symptomatically and no specific treatment, such as surgical resection, was necessary. Lung sequestration in the elderly is a rare condition but should be considered in a patient presenting with stable lung lesions, especially if a feeding artery from the aorta can be identified.

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Pulmonary sequestration: a retrospective analysis of 2625 cases in China

Cited by 199 publications

References 13 publications

Pulmonary Sequestrations: Issues Related to Diagnosis, Possible Complications, and Comorbidities

Pulmonary Sequestrations: Issues Related to Diagnosis, Possible Complications, and Comorbidities

A case report of extralobar pulmonary sequestration in a dog

Lung Sequestration in an Octogenarian Male

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