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一例罕见的叶外型支气管肺隔离症

A Rare Case of Extralobar Bronchopulmonary Sequestration.

作者信息

Tolekova Nadezhda, Antonova Zdravka, Kartulev Nikola, Gabrovska Natalia, Shivachev Hristo

机构信息

Pediatric Surgery, University Multi-Profile Hospital for Active Treatment and Emergency Medicine (UMHATEM) "N.I. Pirogov", Sofia, BGR.

Pediatric Pulmology, Specialized Hospital for Active Treatment of Children's Diseases "Prof. Ivan Mitev", Sofia, BGR.

出版信息

Cureus. 2024 Nov 9;16(11):e73330. doi: 10.7759/cureus.73330. eCollection 2024 Nov.

Abstract

Bronchopulmonary sequestration is a rare developmental abnormality of the pulmonary system. It is a pulmonary malformation and is defined as lung tissue without connection to the tracheobronchial tree with a systemic blood supply. We present a case of an eight-month-old infant with prenatally diagnosed bronchopulmonary sequestration. At six months of age, an extralobar sequestration with a feeding vessel from truncus coeliacus and venous drainage to vena thoracica interna sinistra was diagnosed from a CT scan of the lung. Thoracoscopy was performed with the identification of intradiaphragmatic sequestration, conversion to thoracotomy with resection of the lesion, and repair of the diaphragm. Postoperative follow-up revealed no complications. Intradiaphragmatic bronchopulmonary sequestration is an extremely rare congenital anomaly. The gold standard for diagnostic clarification is computed tomography. The preferred approach for surgical treatment is transthoracic.

摘要

支气管肺隔离症是一种罕见的肺部系统发育异常。它是一种肺畸形,定义为与气管支气管树无连接且有体循环血液供应的肺组织。我们报告一例产前诊断为支气管肺隔离症的8个月婴儿病例。6个月大时,通过肺部CT扫描诊断为叶外型隔离症,其供血血管来自腹腔干,静脉回流至左胸廓内静脉。进行了胸腔镜检查,发现膈内隔离症,转为开胸手术切除病变并修复膈肌。术后随访未发现并发症。膈内支气管肺隔离症是一种极其罕见的先天性异常。诊断明确的金标准是计算机断层扫描。手术治疗的首选方法是经胸手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9241/11626991/a5a157eaef0f/cureus-0016-00000073330-i01.jpg

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