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Spontaneous postnatal involution of intraabdominal pulmonary sequestration
M Chowdhury1, M Samuel, A Ramsay
1Department of Paediatric Surgery, Institute of Child Health and Great Ormond Street Hospital for Children, London, England, UK.
Journal of Pediatric Surgery
|August 10, 2004
Summary
Prenatal ultrasonography detected suprarenal masses in two pregnancies. These masses, consistent with suprarenal pulmonary sequestration, resolved with conservative management.
Area of Science:
- Perinatology
- Pediatric Radiology
- Thoracic Surgery
Background:
- Suprarenal masses are rare findings during prenatal diagnosis.
- Pulmonary sequestration can present atypically, including in the suprarenal space.
Purpose of the Study:
- To report two cases of antenatal diagnosis of suprarenal masses.
- To describe the imaging characteristics and clinical course of these lesions.
- To highlight the potential diagnosis of suprarenal pulmonary sequestration.
Main Methods:
- Prenatal ultrasonography was utilized for lesion identification in two pregnant women.
- Conservative management strategies were employed for the identified suprarenal masses.
- Serial imaging was used to monitor lesion evolution and involution.
Main Results:
- Prenatal ultrasound identified echogenic suprarenal masses in both cases.
- Both lesions demonstrated involution and resolution over time with conservative treatment.
- Histopathological correlation was not obtained, but imaging findings were consistent with suprarenal pulmonary sequestration.
Conclusions:
- Suprarenal pulmonary sequestration is a rare but possible diagnosis for antenatally detected suprarenal masses.
- Conservative management may be effective for these lesions, leading to spontaneous resolution.
- Prenatal ultrasonography plays a crucial role in the early detection and monitoring of such conditions.