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Intralobar bronchopulmonary sequestration in the newborn--a congenital malformation
1Department of Radiology, University of Lund, Sweden.
Background:
Intralobar sequestration (ILS) has been suggested to be an acquired lesion. However, we have observed several young infants who had ILS.
Objectives:
Since this fact seems to indicate a congenital origin, we reviewed our experience.
Material And Methods:
A retrospective review of bronchopulmonary sequestration from the Departments of Radiology and Pathology in Lund between 1964 and 1997.
Results:
We identified seven infants or young children with a diagnosis of intralobar sequestration. In each patient, the ILS was present before recurrent infection developed. Five had chest X-rays as neonates, one at 3 months and one at 11 months of age. All but one showed an abnormality on their first chest X-ray, consistent with sequestration. Six of the ILS were verified at angiography; all seven were surgically removed. Two of the children with ILS also had congenital cystic adenomatoid malformation (CCAM). Three children had both ILS and scimitar syndrome.
Conclusions:
The fact that ILS was present in seven newborn and young infants indicates that this lesion is, at least in some patients, a congenital malformation.