[膈肌下肺隔离症一例报告]

[A case report of subdiaphragmatic pulmonary sequestration].

作者信息

Tsuji H, Yokoyama K, Takeuchi A, Yamamoto R, Shibayama Y, Kato K, Shimomura T, Iida K, Sakanaka M, Nakajima H

出版信息

Kyobu Geka. 1989 Jun;42(6):448-51.

Abstract

A 32-year-old man with extralobar pulmonary sequestration under diaphragm is reported. The patient was admitted because of abnormal shadow on chest X-ray film without any complaints. Chest roentgenogram showed a homogenous density at the left cardiophrenic angle. Aortogram demonstrated an abnormal artery arising from the abdominal aorta to left subphrenic mass shadow. On laparotomy a large cystic mass connected with diaphragm was found behind the stomach and removed successfully. The postoperative course was uneventful. The histological diagnosis was subphrenic pulmonary sequestration. The frequency, localisation, pathogenesis of pulmonary sequestration are discussed.

摘要

报道了一名32岁患有膈下叶外型肺隔离症的男性患者。该患者因胸部X光片出现异常阴影而入院，无任何不适主诉。胸部X线片显示左心膈角处有均匀密度影。主动脉造影显示一条异常动脉自腹主动脉发出，通向左膈下肿块阴影。剖腹手术时，在胃后方发现一个与膈肌相连的大囊性肿块，并成功切除。术后病程平稳。组织学诊断为膈下肺隔离症。文中讨论了肺隔离症的发病率、定位及发病机制。