Giant extralobar pulmonary sequestration with severe pleural effusion in neonatal period: A case report_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

ZHOU Yuxuan ¹ , LIN Hang ¹ , ZHANG Chunfang ¹ , FU Yimei ² ,  CHENG Yuanda ¹

1. Department of Thoracic Surgery, Xiangya Hospital, Central South University, Changsha, 410008, P. R. China;
2. Depaetment of Obstetrics, Xiangya Hospital, Central South University, Changsha, 410008, P. R. China;

Corresponding?author：

CHENG Yuanda, Email: chyd0508@csu.edu.cn

Keywords：

Giant pulmonary sequestration; neonate; pleural effusion; case report

DOI：

10.7507/1007-4848.202208008

Video：

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Giant extralobar pulmonary sequestration in newborns is still relatively rare in pulmonary diseases, and there are few relevant studies published. A neonate with the giant extralobar pulmonary sequestration accompanied by severe pleural effusion was reported here. After 12 days of birth, the diseased lung tissue was surgically extracted. The patient had an uneventful postoperative recovery and was discharged from the hospital. The case shows the advantage of early surgical treatment to extralobar pulmonary sequestration with severe pleural effusion in neonatal period.

Citation： ZHOU Yuxuan, LIN Hang, ZHANG Chunfang, FU Yimei, CHENG Yuanda. Giant extralobar pulmonary sequestration with severe pleural effusion in neonatal period: A case report. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2024, 31(4): 631-633. doi: 10.7507/1007-4848.202208008 Copy

1.	Guenot C, Dubrit K, Lepigeon K, et al. Effect of maternal betamethasone on hydrops fetalis caused by extralobar pulmonary sequestration: A case report. J Obstet Gynaecol, 2019, 39(1): 120-122.
2.	Savi? B, Birtel FJ, Knoche R, et al. Pulmonary sequestration. Ergeb Inn Med Kinderheilkd, 1979, 43: 57-92.
3.	余克馳, 魏明發. 小兒葉外型隔離肺報告一例. 中華小兒外科雜志, 2012, 33(11): 879.
4.	Adams NC, Victoria T, Oliver ER, et al. Fetal ultrasound and magnetic resonance imaging: A primer on how to interpret prenatal lung lesions. Pediatr Radiol, 2020, 50(13): 1839-1854.
5.	Laberge JM, Puligandla P, Flageole H. Asymptomatic congenital lung malformations. Semin Pediatr Surg, 2005, 14(1): 16-33.
6.	Adzick NS, Flake AW, Crombleholme TM. Management of congenital lung lesions. Semin Pediatr Surg, 2003, 12(1): 10-16.
7.	Alsumrain M, Ryu JH. Pulmonary sequestration in adults: A retrospective review of resected and unresected cases. BMC Pulm Med, 2018, 18(1): 97.
8.	張樹偉. 葉外型肺隔離癥自發破裂出血1例. 解放軍醫學雜志, 1980, (6): 328-385.
9.	王曉黎, 謝定雄. 葉外型肺隔離癥自發破裂出血一例. 蘭州醫學院學報, 2003, 29(1): 7.
10.	熊燃, 郭建峰, 許瑞彬, 等. 兒童葉外型肺隔離癥合并血胸一例. 中國全科醫學, 2013, 16(36): 3624-3625, 3629.
11.	蘇小芬, 邢秋云, 孫江潔, 等. 以血性胸腔積液為主要表現的右側葉外型肺隔離癥一例. 中華結核和呼吸雜志, 2014, 37(2): 141-142.
12.	謝康, 郭鑫, 盧志威. 兒童肺隔離癥合并血性胸腔積液1例. 浙江醫學, 2021, 43(8): 894-895.
13.	Yang L, Yang G. Extralobar pulmonary sequestration with a complication of torsion: A case report and literature review. Medicine (Baltimore), 2020, 99(29): e21104.
14.	Corbett HJ, Humphrey GM. Pulmonary sequestration. Paediatr Respir Rev, 2004, 5(1): 59-68.
15.	趙秀花, 謝紅寧, 彭軟, 等. 胎兒肺隔離癥靜脈回流方式對預后影響的研究. 中華超聲影像學雜志, 2016, 25(2): 131-135.
16.	Brown SC, De Laat M, Proesmans M, et al. Treatment strategies for pulmonary sequestration in childhood: Resection, embolization, observation? Acta Cardiol, 2012, 67(6): 629-634.
17.	van Leeuwen K, Teitelbaum DH, Hirschl RB, et al. Prenatal diagnosis of congenital cystic adenomatoid malformation and its postnatal presentation, surgical indications, and natural history. J Pediatr Surg, 1999, 34(5): 794-798.
18.	楊培金, 郭新會, 劉士超, 等. 經動脈栓塞治療新生兒肺隔離癥16例. 介入放射學雜志, 2013, 22(12): 1042-1045.
19.	Lee KH, Sung KB, Yoon HK, et al. Transcatheter arterial embolization of pulmonary sequestration in neonates: Long-term follow-up results. J Vasc Interv Radiol, 2003, 14(3): 363-367.
20.	張浩亮, 侯智亮, 趙松, 等. 胸腔鏡在葉內型肺隔離癥手術治療中的應用. 中國老年學雜志, 2016, 36(3): 674-675.
21.	Liu C, Pu Q, Ma L, et al. Video-assisted thoracic surgery for pulmonary sequestration compared with posterolateral thoracotomy. J Thorac Cardiovasc Surg, 2013, 146(3): 557-561.

1. Guenot C, Dubrit K, Lepigeon K, et al. Effect of maternal betamethasone on hydrops fetalis caused by extralobar pulmonary sequestration: A case report. J Obstet Gynaecol, 2019, 39(1): 120-122.
2. Savi? B, Birtel FJ, Knoche R, et al. Pulmonary sequestration. Ergeb Inn Med Kinderheilkd, 1979, 43: 57-92.
3. 余克馳, 魏明發. 小兒葉外型隔離肺報告一例. 中華小兒外科雜志, 2012, 33(11): 879.
4. Adams NC, Victoria T, Oliver ER, et al. Fetal ultrasound and magnetic resonance imaging: A primer on how to interpret prenatal lung lesions. Pediatr Radiol, 2020, 50(13): 1839-1854.
5. Laberge JM, Puligandla P, Flageole H. Asymptomatic congenital lung malformations. Semin Pediatr Surg, 2005, 14(1): 16-33.
6. Adzick NS, Flake AW, Crombleholme TM. Management of congenital lung lesions. Semin Pediatr Surg, 2003, 12(1): 10-16.
7. Alsumrain M, Ryu JH. Pulmonary sequestration in adults: A retrospective review of resected and unresected cases. BMC Pulm Med, 2018, 18(1): 97.
8. 張樹偉. 葉外型肺隔離癥自發破裂出血1例. 解放軍醫學雜志, 1980, (6): 328-385.
9. 王曉黎, 謝定雄. 葉外型肺隔離癥自發破裂出血一例. 蘭州醫學院學報, 2003, 29(1): 7.
10. 熊燃, 郭建峰, 許瑞彬, 等. 兒童葉外型肺隔離癥合并血胸一例. 中國全科醫學, 2013, 16(36): 3624-3625, 3629.
11. 蘇小芬, 邢秋云, 孫江潔, 等. 以血性胸腔積液為主要表現的右側葉外型肺隔離癥一例. 中華結核和呼吸雜志, 2014, 37(2): 141-142.
12. 謝康, 郭鑫, 盧志威. 兒童肺隔離癥合并血性胸腔積液1例. 浙江醫學, 2021, 43(8): 894-895.
13. Yang L, Yang G. Extralobar pulmonary sequestration with a complication of torsion: A case report and literature review. Medicine (Baltimore), 2020, 99(29): e21104.
14. Corbett HJ, Humphrey GM. Pulmonary sequestration. Paediatr Respir Rev, 2004, 5(1): 59-68.
15. 趙秀花, 謝紅寧, 彭軟, 等. 胎兒肺隔離癥靜脈回流方式對預后影響的研究. 中華超聲影像學雜志, 2016, 25(2): 131-135.
16. Brown SC, De Laat M, Proesmans M, et al. Treatment strategies for pulmonary sequestration in childhood: Resection, embolization, observation? Acta Cardiol, 2012, 67(6): 629-634.
17. van Leeuwen K, Teitelbaum DH, Hirschl RB, et al. Prenatal diagnosis of congenital cystic adenomatoid malformation and its postnatal presentation, surgical indications, and natural history. J Pediatr Surg, 1999, 34(5): 794-798.
18. 楊培金, 郭新會, 劉士超, 等. 經動脈栓塞治療新生兒肺隔離癥16例. 介入放射學雜志, 2013, 22(12): 1042-1045.
19. Lee KH, Sung KB, Yoon HK, et al. Transcatheter arterial embolization of pulmonary sequestration in neonates: Long-term follow-up results. J Vasc Interv Radiol, 2003, 14(3): 363-367.
20. 張浩亮, 侯智亮, 趙松, 等. 胸腔鏡在葉內型肺隔離癥手術治療中的應用. 中國老年學雜志, 2016, 36(3): 674-675.
21. Liu C, Pu Q, Ma L, et al. Video-assisted thoracic surgery for pulmonary sequestration compared with posterolateral thoracotomy. J Thorac Cardiovasc Surg, 2013, 146(3): 557-561.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Giant extralobar pulmonary sequestration with severe pleural effusion in neonatal period: A case report

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