Kamata S, Sawai T, Nose K, Hasagawa T, Nakajima K, Soh H, Okada A
Department of Paediatric Surgery, Osaka University Medical School, Japan.
Pediatr Radiol. 2000 Jul;30(7):492-4. doi: 10.1007/s002470000251.
Venous drainage to the portal vein in pulmonary sequestration is rare. A 7-month-old girl was referred to our hospital following surgery for ventricular septal defect because of a left upper abdominal mass with a large feeding artery from the abdominal aorta and venous drainage to the portal vein. She had had frequent pulmonary infections and was growth retarded. MRI demonstrated that the mass was above the left diaphragm, suggesting extralobar sequestration. An extralobar sequestered lung was resected at thoracotomy. Diagnostic problems and clinical features are presented.
肺隔离症中静脉血引流至门静脉的情况较为罕见。一名7个月大的女孩因室间隔缺损手术后出现左上腹肿块,该肿块有一条来自腹主动脉的粗大供血动脉且静脉血引流至门静脉,故而被转诊至我院。她频繁发生肺部感染且生长发育迟缓。磁共振成像(MRI)显示肿块位于左膈上方,提示为叶外型肺隔离症。经开胸手术切除了叶外型隔离肺。本文介绍了诊断问题及临床特征。