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Sequestration of the lung in children
Mayo Clinic Proceedings
|September 1, 1976
Summary
Bronchopulmonary sequestration is a congenital lung anomaly often found in children. Surgical removal is safe and effective for this condition.
Area of Science:
- Pediatric Surgery
- Congenital Abnormalities
- Pulmonary Medicine
Background:
- Bronchopulmonary sequestration is a rare congenital lung malformation.
- It presents as a distinct clinical entity requiring consideration in pediatric patients with lower lung field opacities on imaging.
- Understanding its embryogenesis is crucial for diagnosis and management.
Observation:
- Nine pediatric cases of bronchopulmonary sequestration were reviewed.
- Intralobar sequestration is frequently linked to recurrent pulmonary sepsis.
- Extralobar sequestration is typically asymptomatic with no abnormal physical findings.
Findings:
- A unique case demonstrated an extralobar sequestration with an esophageal duplication communicating with the sequestered lobe.
- This finding suggests a transitional stage in the embryonic development of extralobar sequestration.
- Both intralobar and extralobar forms share common characteristics, indicating a shared embryogenesis.
Implications:
- Bronchopulmonary sequestration should be considered in children with lower lung field opacities.
- Surgical excision via lobectomy or segmentectomy is a safe and effective treatment.
- This approach can be performed with minimal morbidity and mortality.