AI Article Synopsis

  • Majority of lung sequestrations are classified as Intra-Lobar (ILS) or Extra-Lobar (ELS), with rare cases like Bronchopulmonary Foregut Malformation (BPFM) where abnormal lung is connected to the gastrointestinal tract.
  • A case is presented involving a 3-year-old girl diagnosed with a left intrathoracic mass, ultimately found to have bilateral ELS requiring careful pre-surgical imaging and planning.
  • The girl underwent successful thoracoscopic resection of her lung mass, with two anomalous blood vessels ligated, and her recovery was smooth, leading to her discharge after three days.

Article Abstract

Majority of sequestrations fall into two categories: Intra-Lobar (ILS) and Extra-Lobar (ELS). Rarely the abnormal lung could be attached to the gastrointestinal tract, Bronchopulmonary Foregut Malformation (BPFM). We described a case of a girl of 3-years-old with antenatal diagnosis of left intrathoracic mass of the inferior lobe. Postnatal Computed-Tomography (CT) revealed a bilateral ELS with an isthmic bridge crossing the vertebral spine. She follows a MRI follow-up at 18months/30months confirming the lesion. Before surgery, a three-dimensional-CT-angiography was performed to study the mass, its blood supply and to plan surgery. She underwent to thoracoscopic resection. Two aberrant blood vessels were dissected from the thoracic aorta and ligated. The postoperative course was uneventful. She was discharged after 3 days. The rarity of our case is due to the bilateral extension. An appropriate preoperatory imaging study is necessary for the success of surgery while thoracoscopy is particularly appropriate in surgical treatment.

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Source
http://dx.doi.org/10.4081/pmc.2020.237DOI Listing

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