肺切除术中对肺隔离症的识别。
Recognition of an extralobar pulmonary sequestration during lung resection.
机构信息
Department of Cardiothoracic Surgery, Shengzhou People's Hospital (The First Affiliated Hospital of Zhejiang University Shengzhou Branch), Shaoxing, 312400, China.
Operation Room, Shengzhou People's Hospital (The First Affiliated Hospital of Zhejiang University Shengzhou Branch), Shaoxing, China.
出版信息
J Cardiothorac Surg. 2024 Jul 13;19(1):440. doi: 10.1186/s13019-024-02880-y.
BACKGROUND
Extralobar pulmonary sequestration is located outside the lung parenchyma and is covered by a separated pleural sac, which comprises approximately 25% of all pulmonary sequestration.
CASE PRESENTATION
This article reported one case of an extralobar pulmonary sequestration originated from the mesoesophagus, which was recognized and excised during a lung resection. Histologic examination revealed an ectopic lung tissue with hyperplasia of bronchioles, which was accord with an extralobar pulmonary sequestration.
CONCLUSIONS
CT angiogram, ultrasound and MRI can be used to clarify the diagnosis and detect the abnormal feeding arteries of extralobar pulmonary sequestration. Carefulness should be taken while dissecting and ligating the potential feeding arteries. Endovascular occlusion might be an alternative option to surgery.
背景
肺隔离症位于肺实质外，被分隔的胸膜囊覆盖，约占所有肺隔离症的 25%。
病例介绍
本文报道了一例起源于中食管的肺隔离症，在肺切除术中被发现并切除。组织学检查显示为异位肺组织，细支气管增生，符合肺隔离症。
结论
CT 血管造影、超声和 MRI 可用于明确诊断并检测肺隔离症的异常供血动脉。在解剖和结扎潜在供血动脉时应小心。血管内闭塞可能是手术的替代选择。
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