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儿童肺叶外型肺隔离症合并出血性梗死:术前影像学诊断及病理对照

Extralobar pulmonary sequestration with hemorrhagic infarction in a child: preoperative imaging diagnosis and pathological correlation.

作者信息

Choe Jooae, Goo Hyun Woo

机构信息

Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, Korea.

出版信息

Korean J Radiol. 2015 May-Jun;16(3):662-7. doi: 10.3348/kjr.2015.16.3.662. Epub 2015 May 13.

Abstract

We describe a rare case of extralobar pulmonary sequestration with hemorrhagic infarction in a 10-year-old boy who presented with acute abdominal pain and fever. In our case, internal branching linear architecture, lack of enhancement in the peripheral portion of the lesion with internal hemorrhage, and vascular pedicle were well visualized on preoperative magnetic resonance imaging that led to successful preoperative diagnosis of extralobar pulmonary sequestration with hemorrhagic infarction probably due to torsion.

摘要

我们描述了一例罕见的叶外型肺隔离症合并出血性梗死病例,患者为一名10岁男孩,表现为急性腹痛和发热。在我们的病例中,术前磁共振成像清晰显示了内部分支线性结构、病变周边部分因内部出血而无强化以及血管蒂,这使得术前成功诊断为叶外型肺隔离症合并出血性梗死,可能是由于扭转所致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a190/4435998/64df6f0a43d5/kjr-16-662-g001.jpg

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