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病例报告:1例极为罕见的双侧肺叶外型肺隔离症,异常供血动脉发自左胸腔内的腹主动脉。

Case Report: An extremely rare case of double extralobar pulmonary sequestration with anomalous supplying arteries originating from the abdominal aorta in the left thoracic cavity.

作者信息

Lv Longfei, Zhai Yunpeng, Zhao Huashan, Guo Rui, Xu Hongxiu, Zhang Shisong

机构信息

Department of Thoracic and Oncological Surgery, Children's Hospital Affiliated to Shandong University, Jinan, China.

Department of Thoracic and Oncological Surgery, Jinan Children's Hospital, Jinan, China.

出版信息

Front Pediatr. 2022 Jul 22;10:926942. doi: 10.3389/fped.2022.926942. eCollection 2022.

Abstract

To the best of our knowledge, double or multiple extralobar pulmonary sequestrations (PSs) with anomalous arterial supply in the ipsilateral thoracic cavity have rarely been reported before. PS can be divided into two types: intralobar sequestration (ILS) and extralobar sequestration (ELS). We encountered a 5-month-old infant with double ELS in the left thoracic cavity that was incidentally detected during thoracoscopic surgery. Surgical exploration revealed two separate, well-circumscribed abnormal masses in the left thoracic cavity, and the patient was successfully treated using thoracoscopic surgery. Postoperative pathology confirmed that both masses were PS tissues. Accurate preoperative diagnosis using CT alone may be inadequate in this type of case. Therefore, thoracoscopy may be more suitable for diagnosing and treating unusual ELS.

摘要

据我们所知,同侧胸腔内具有异常动脉供血的双发或多发肺叶外肺隔离症(PS)此前鲜有报道。PS可分为两种类型:肺叶内隔离症(ILS)和肺叶外隔离症(ELS)。我们遇到一名5个月大的婴儿,其左侧胸腔内有双发ELS,在胸腔镜手术中偶然被发现。手术探查发现左侧胸腔内有两个独立的、边界清晰的异常肿块,该患者通过胸腔镜手术成功治愈。术后病理证实两个肿块均为PS组织。在此类病例中,仅使用CT进行准确的术前诊断可能并不充分。因此,胸腔镜检查可能更适合诊断和治疗不常见的ELS。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fe6/9354599/bca50b6107a0/fped-10-926942-g001.jpg

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