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超选择性经导管动脉栓塞术治疗腹腔内叶外型肺隔离症

Superselective transcatheter arterial embolization in the treatment of intra-abdominal extralobar pulmonary sequestration.

作者信息

Leite Túlio Fabiano de Oliveira, Neto Vivalde Faria Lobato

机构信息

Interventional Radiology, University of São Paulo, São Paulo, Brazil.

Uberlândia Medical Center, Uberlândia, Minas Gerais, Brazil.

出版信息

Radiol Case Rep. 2025 Apr 5;20(6):3111-3115. doi: 10.1016/j.radcr.2025.03.019. eCollection 2025 Jun.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28a4/12002766/9e7e2151d0ed/gr1.jpg

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