小儿腹痛合并肺叶外型肺隔离症：4例报告
Extralobar pulmonary sequestration in children with abdominal pain: Four case reports.
作者信息
Jiang Meng-Yuan, Wang Yuan-Xiang, Lu Zhi-Wei, Zheng Yue-Jie
机构信息
Department of Respiratory Diseases, Shenzhen Children's Hospital, Shenzhen 518038, Guangdong Province, China.
Department of Cardiothoracic Surgery, Shenzhen Children's Hospital, Shenzhen 518038, Guangdong Province, China.
出版信息
World J Radiol. 2024 Sep 28;16(9):453-459. doi: 10.4329/wjr.v16.i9.453.
BACKGROUND
Extralobar pulmonary sequestration (ELS) with torsion is extremely rare, consequently, the diagnosis of ELS with torsion in children presents a challenge for clinicians. Herein, we report four cases of ELS with torsion that presented with abdominal pain, and further review the relevant literature to summarize the clinical features.
CASE SUMMARY
Four children presented to our department with abdominal pain. All underwent chest computed tomography, which revealed an intrathoracic soft tissue mass with pleural effusion. All four children underwent thoracoscopic resection of the identified pulmonary sequestration, and the vascular pedicle was clipped and excised. None of the patients experienced any postoperative complications.
CONCLUSION
Clinicians should consider the possibility of ELS with torsion in children presenting with abdominal pain as the chief complaint.
背景
伴有扭转的肺叶外型肺隔离症（ELS）极为罕见，因此，儿童伴有扭转的ELS诊断对临床医生而言是一项挑战。在此，我们报告4例以腹痛为表现的伴有扭转的ELS病例，并进一步回顾相关文献以总结其临床特征。
病例总结
4名儿童因腹痛前来我科就诊。所有患儿均接受了胸部计算机断层扫描，结果显示胸腔内软组织肿块伴胸腔积液。所有4名儿童均接受了胸腔镜下切除确诊的肺隔离症，血管蒂进行了夹闭并切除。所有患者均未出现任何术后并发症。
结论
临床医生应考虑以腹痛为主诉的儿童患有伴有扭转的ELS的可能性。
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