Thoracoscopic management of easily neglected extralobar pulmonary sequestration presenting with torsion and infarction in children: three case reports and literature review - Scorecard - 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 Scorecard: Thoracoscopic Intervention for Pediatric Extralobar Pulmonary Sequestration Complicated by Torsion and Infarction: A Review of Three Cases and Relevant Literature
At a Glance
Category
Detail
Condition
Extralobar pulmonary sequestration (ELS)
Key Mechanisms
Complicated by torsion and infarction
Target Population
Pediatric patients under 18 years
Care Setting
Pediatric surgical intervention
Key Highlights
Three pediatric cases of ELS complicated by torsion and infarction reported.
Patients presented with abdominal pain and/or chest pain.
All cases underwent thoracoscopic resection with confirmed pulmonary sequestration.
Postoperative outcomes showed no complications or recurrence.
Contrast-enhanced CT was utilized for diagnosis.
Guideline-Based Recommendations
Diagnosis
Consider pulmonary sequestration with torsion in differential diagnosis for chest/abdominal pain with intrathoracic mass.
Management
Thoracoscopic resection is recommended for treatment.
Monitoring & Follow-up
Long-term follow-up is necessary to assess physical development and pulmonary function.
Risks
Potential for torsion and infarction in ELS cases.
Patient & Prescribing Data
Children aged 3 to 15 years with ELS
Video-assisted thoracoscopic surgery (VATS) provides immediate relief of symptoms.
Clinical Best Practices
Utilize contrast-enhanced imaging for diagnosis.
Monitor for symptoms of torsion in patients with ELS.
