Yan Jiayu,Zeng Qi,Chen Yajun,et al.Pediatric intra-abdominal extralobar pulmonary sequestration: a case series and literature review[J].Journal of Clinical Pediatric Surgery,,18():484-491.[doi:10.3969/j.issn.1671-6353.2019.06.010]
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Pediatric intra-abdominal extralobar pulmonary sequestration: a case series and literature review

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第18卷 Number: 2019 06 Page: 484-491 Column: 论著 Date of publication: 2019-06-28
Author(s):
Yan Jiayu1;  Zeng Qi2;  Chen Yajun1;  Zhang Na2;  He Lejian3
1. Department of General Surgery, National Center of Children’s Health, Beijing Children Hospital, Capital Medical University, Beijing 100045, China;
2. Department of Thoracic Surgery, National Center of Children’s Health, Beijing Children Hospital, Capital Medical University, Beijing 100045, China;
3. Department of Pathology, National Center of Children’s Health, Beijing Children Hospital, Capital Medical University, Beijing 100045, China
Keywords:
Bronchopulmonary Sequestration; Abdominal Cavity; Child
CLC:
R726.2;R563
DOI:
10.3969/j.issn.1671-6353.2019.06.010
Abstract:
Objective To explore the clinical presentations,pathology,treatments and outcomes of intra-abdominal extralobar pulmonary sequestration (IEPS). Methods Four cases of IEPS were selected from our center while more clinical cases retrieved from the databases of Wanfang,Weipu,CNKl,PubMed and Medline prior to June 2018.Results All 4 patients diagnosed as IEPS,including 2 patients each of congenital pulmonary airway malformation type 2/type 3 (CPAM Ⅱ/Ⅲ),were operated.All of them showed normal growth and development during a follow-up period of 3 months,6 months,3.5 years and 4 years,respectively.A total of 47 IEPS cases have been reported.There was a total of 5 aborted fetuses,and an average gestational age of lesion detection at 25(12-37) weeks.Among 46 cases diagnosed as abdominal mass by prenatal ultrasound,there were suspected neuroblastoma (NB,n=10),suspected IEPS (n=7) and associated anomalies (n=7).Preoperative diagnosis was made by type B ultrasound (30/38,78.9%) and enhanced CT (27/38,71.1%).The misdiagnosis was NB (n=11) and IEPS (n=9).A total of 40 cases were operated by open surgery (25/40,62.5%) and laparoscopic laparotomy (n=3).And 62.5% of them underwent surgery within 6 months.The mass was located predominantly in left abdomen (32/40,80.0%).The mean length and diameter of tumor after surgical resection were 3.0 (IQR:2.8~3.9) cm and major blood supply came from abdominal aorta and its branches (16/21,76.2%).Postoperative pathology confirmed IEPS with CPAM (n=22),CPAM Ⅱ (n=12) and CPAM Ⅲ (n=2).All children had an excellent prognosis. Conclusion Intra-abdominal extralobar pulmonary sequestration should be evaluated comprehensively postpartum although prenatal ultrasound has an excellent diagnostic accuracy of intraperitoneal masses in children.Surgery is the only method of making an early definite diagnosis.Surgical approach should be selected properly according to the lesions.Postsurgical outcomes are favorable.

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Memo

收稿日期:2018-09-04。
基金项目:中国工程院-外科扶持基金
通讯作者:曾琪,Email:zengqi-1@163.com;陈亚军,Email:chenyajunmd@aliyun.com

Last Update: 1900-01-01