Thoracoscopic management of easily neglected extralobar pulmonary sequestration presenting with torsion and infarction in children: three case reports and literature review - Report - MDSpire
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Thoracoscopic management of easily neglected extralobar pulmonary sequestration presenting with torsion and infarction in children: three case reports and literature review
Clinical Report: Thoracoscopic Intervention for Pediatric Extralobar Pulmonary Sequestration
Background
Extralobar pulmonary sequestration is a rare congenital malformation characterized by nonfunctioning lung tissue that lacks a connection to the tracheobronchial tree. Complications such as torsion and infarction are uncommon but can lead to acute symptoms, necessitating timely diagnosis and intervention.
Data Highlights
Case
Presentation
Imaging Findings
Postoperative Diagnosis
1
Abdominal pain, chest pain
Suspected intrathoracic mass
Pulmonary sequestration with hemorrhagic necrosis
2
Abdominal pain, chest pain
Suspected intrathoracic mass
Pulmonary sequestration with hemorrhagic necrosis
3
Abdominal pain
Diagnosed with pulmonary sequestration
Pulmonary sequestration with hemorrhagic necrosis
Key Findings
Three pediatric cases of ELS complicated by torsion and infarction were treated at Shanghai Children's Hospital.
Patients presented with abdominal pain and/or chest pain.
Contrast-enhanced chest CT was utilized for diagnosis, revealing intrathoracic soft-tissue masses in two cases.
All patients underwent thoracoscopic resection, which confirmed the diagnosis of pulmonary sequestration with hemorrhagic necrosis.
Postoperative outcomes were reported as favorable.
Clinical Implications
Clinicians should consider extralobar pulmonary sequestration with torsion in differential diagnoses for pediatric patients presenting with acute abdominal or chest pain. Early recognition and thoracoscopic intervention can lead to favorable outcomes.
