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产前超声检查发现心包内叶外型肺隔离症表现为胸腔内囊性肿块:病例报告及文献复习。

Intrapericardial extralobar pulmonary sequestration detected as an intrathoracic cystic mass by using prenatal ultrasonography: case report and review of the literature.

机构信息

Department of Pediatric Surgery, Jichi Medical University, 3311-1, Simotuke, Tochigi, 329-0498, Japan.

出版信息

J Pediatr Surg. 2012 Dec;47(12):2327-31. doi: 10.1016/j.jpedsurg.2012.09.056.

Abstract

Intrapericardial extralobar pulmonary sequestration is a very rare congenital lung anomaly. We report a case of this condition, detected as an intrathoracic cystic lesion by using prenatal ultrasonography. The neonate was born at 38 weeks of gestation with no progression of the lesion and no respiratory or cardiac symptoms. Ultrasonography and computed tomography (CT) revealed a 40 × 17 × 17-mm intrapericardial lesion, composed of cystic components and a solid component. Intrapericardial extrapulmonary sequestration was suspected largely because CT showed a vague aberrant artery. At the age of 3 months, elective surgery was performed, and the postoperative course was uneventful.

摘要

心包内肺隔离症是一种非常罕见的先天性肺畸形。我们报告了一例该疾病,该疾病在产前超声检查中被发现为胸腔内囊性病变。新生儿在 38 周妊娠时出生,病变无进展,无呼吸或心脏症状。超声心动图和计算机断层扫描(CT)显示心包内有一个 40×17×17mm 的病变,由囊性成分和实性成分组成。心包内肺隔离症的可能性很大,因为 CT 显示了一条模糊的异常动脉。在 3 个月大时,进行了择期手术,术后过程顺利。

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