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.	Savić B, Birtel FJ, Knoche R, et al. Pulmonary sequestration. Ergeb Inn Med Kinderheilkd, 1979, 43: 57-92.
3.	余克驰, 魏明发. 小儿叶外型隔离肺报告一例. 中华小儿外科杂志, 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.	张树伟. 叶外型肺隔离症自发破裂出血1例. 解放军医学杂志, 1980, (6): 328-385.
9.	王晓黎, 谢定雄. 叶外型肺隔离症自发破裂出血一例. 兰州医学院学报, 2003, 29(1): 7.
10.	熊燃, 郭建峰, 许瑞彬, 等. 儿童叶外型肺隔离症合并血胸一例. 中国全科医学, 2013, 16(36): 3624-3625, 3629.
11.	苏小芬, 邢秋云, 孙江洁, 等. 以血性胸腔积液为主要表现的右侧叶外型肺隔离症一例. 中华结核和呼吸杂志, 2014, 37(2): 141-142.
12.	谢康, 郭鑫, 卢志威. 儿童肺隔离症合并血性胸腔积液1例. 浙江医学, 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.	赵秀花, 谢红宁, 彭软, 等. 胎儿肺隔离症静脉回流方式对预后影响的研究. 中华超声影像学杂志, 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.	杨培金, 郭新会, 刘士超, 等. 经动脉栓塞治疗新生儿肺隔离症16例. 介入放射学杂志, 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.	张浩亮, 侯智亮, 赵松, 等. 胸腔镜在叶内型肺隔离症手术治疗中的应用. 中国老年学杂志, 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. Savić B, Birtel FJ, Knoche R, et al. Pulmonary sequestration. Ergeb Inn Med Kinderheilkd, 1979, 43: 57-92.
3. 余克驰, 魏明发. 小儿叶外型隔离肺报告一例. 中华小儿外科杂志, 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. 张树伟. 叶外型肺隔离症自发破裂出血1例. 解放军医学杂志, 1980, (6): 328-385.
9. 王晓黎, 谢定雄. 叶外型肺隔离症自发破裂出血一例. 兰州医学院学报, 2003, 29(1): 7.
10. 熊燃, 郭建峰, 许瑞彬, 等. 儿童叶外型肺隔离症合并血胸一例. 中国全科医学, 2013, 16(36): 3624-3625, 3629.
11. 苏小芬, 邢秋云, 孙江洁, 等. 以血性胸腔积液为主要表现的右侧叶外型肺隔离症一例. 中华结核和呼吸杂志, 2014, 37(2): 141-142.
12. 谢康, 郭鑫, 卢志威. 儿童肺隔离症合并血性胸腔积液1例. 浙江医学, 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. 赵秀花, 谢红宁, 彭软, 等. 胎儿肺隔离症静脉回流方式对预后影响的研究. 中华超声影像学杂志, 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. 杨培金, 郭新会, 刘士超, 等. 经动脉栓塞治疗新生儿肺隔离症16例. 介入放射学杂志, 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. 张浩亮, 侯智亮, 赵松, 等. 胸腔镜在叶内型肺隔离症手术治疗中的应用. 中国老年学杂志, 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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