Leite Túlio Fabiano de Oliveira, Neto Vivalde Faria Lobato
Interventional Radiology, University of São Paulo, São Paulo, Brazil.
Uberlândia Medical Center, Uberlândia, Minas Gerais, Brazil.
Radiol Case Rep. 2025 Apr 5;20(6):3111-3115. doi: 10.1016/j.radcr.2025.03.019. eCollection 2025 Jun.
Pulmonary sequestration is a congenital anomaly characterized by a mass of nonfunctioning lung parenchyma that receives a systemic arterial blood supply and is mainly located in the thorax. Intra-abdominal pulmonary sequestration, a rare subtype, is typically diagnosed within the first few months of life. We report the case of a term neonate with a history of recurrent left-sided pleural effusion requiring thoracentesis. A CT scan with venous contrast was performed, and an intrabdominal extralobar pulmonary sequestration was identified on the left, associated with a diaphragmatic hernia. The patient underwent embolization of the anomalous branch and reconstruction of the left diaphragm using bovine pericardium.
肺隔离症是一种先天性异常,其特征为一团无功能的肺实质,接受体循环动脉血供,主要位于胸腔。腹内肺隔离症是一种罕见的亚型,通常在出生后的头几个月内被诊断出来。我们报告一例足月新生儿病例,该患儿有反复左侧胸腔积液病史,需要进行胸腔穿刺术。进行了静脉造影CT扫描,发现左侧存在腹内叶外型肺隔离症,并伴有膈疝。该患者接受了异常分支的栓塞治疗,并使用牛心包对左侧膈肌进行了重建。