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Intra-abdominal pulmonary sequestration: a benign suprarenal mass.
M N Damani1, J P Ganem, J A Freeman
1Division of Urology, University of North Carolina School of Medicine, Chapel Hill, North Carolina 27599-7235, USA.
Urology
|February 7, 2001
Summary
A rare case of an 8.5-cm intra-abdominal mass was diagnosed as an accessory lung, or intrapulmonary sequestration. This benign condition presented unusually in the suprarenal region, with normal adrenal function.
Area of Science:
- Surgical Pathology
- Radiology
- Pediatric Surgery
Background:
- Suprarenal masses can be challenging to diagnose, necessitating comprehensive evaluation.
- Pulmonary sequestration is a rare congenital lung malformation, typically diagnosed in childhood.
- Intra-abdominal extralobar pulmonary sequestration is an exceptionally rare variant.
Observation:
- A 34-year-old woman presented with a large (8.5 cm) left suprarenal mass.
- Initial evaluation showed normal adrenal hormone function, excluding adrenal neoplasms.
- Imaging and subsequent pathological examination were crucial for diagnosis.
Findings:
- The suprarenal mass was pathologically confirmed as an intra-abdominal extralobar pulmonary sequestration.
- This represents an accessory lung, a rare congenital anomaly.
- The lesion was benign and successfully removed surgically.
Implications:
- This case highlights the importance of considering rare congenital anomalies in the differential diagnosis of suprarenal masses.
- It underscores the need for thorough pathological examination for definitive diagnosis.
- Such findings expand the known spectrum of presentation for pulmonary sequestration.