Thoracoscopic management of easily neglected extralobar pulmonary sequestration presenting with torsion and infarction in children: three case reports and literature review - Takeaways - MDSpire

Thoracoscopic management of easily neglected extralobar pulmonary sequestration presenting with torsion and infarction in children: three case reports and literature review

  • By

  • Xiaolong Chen

  • Li Shen

  • Haifa Hong

  • July 2, 2026

  • 0 min

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  • 1

    Extralobar pulmonary sequestration (ELS) is a rare congenital malformation that can be complicated by torsion and infarction.

  • 2

    Three pediatric cases of ELS complicated by torsion and infarction were treated at Shanghai Children's Hospital between May 2022 and November 2025.

  • 3

    Patients presented with abdominal pain and chest pain, with imaging revealing suspected intrathoracic masses in two cases.

  • 4

    All patients underwent thoracoscopic resection, with postoperative pathology confirming pulmonary sequestration with hemorrhagic necrosis.

  • 5

    Long-term follow-up showed no complications or recurrence, and all patients maintained satisfactory physical development and pulmonary function.

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