Related Experiment Videos
Infected infradiaphragmatic retroperitoneal extralobar pulmonary sequestration: a case report
Hyun Koo Kim1, Young Ho Choi, Se Min Ryu
1Department of Thoracic and Cardiovascular Surgery, Guro Hospital, Korea University Medical Center, Seoul, Korea.
Journal of Korean Medical Science
|December 20, 2005
Summary
This case report details an extremely rare infected infradiaphragmatic extralobar pulmonary sequestration in an adult. Staged management led to an excellent clinical outcome for this congenital malformation.
Area of Science:
- Congenital Malformations
- Thoracic Surgery
- Pediatric Surgery
Background:
- Infradiaphragmatic extralobar pulmonary sequestration is a rare congenital anomaly.
- Typically diagnosed antenatally or in early infancy, it can present incidentally in adults.
- This case involves a large, infected sequestration discovered in a 32-year-old male.
Observation:
- A 32-year-old male presented with epigastric discomfort and fever.
- CT revealed a large, cystic tumor beneath the diaphragm.
- Sonography-guided aspiration drained pus, but cultures were negative for microorganisms.
Findings:
- Histopathology confirmed extralobar pulmonary sequestration.
- The sequestration was infected, evidenced by white blood cells and necrotic material, but lacked identifiable microorganisms.
- Surgical removal was performed, though feeding arteries and fistulous tracts were not found.
Implications:
- This is the first reported case of infected infradiaphragmatic retroperitoneal extralobar sequestration managed with a staged approach.
- Successful staged management resulted in an excellent clinical course.
- Highlights the importance of considering rare congenital anomalies in adult presentations of unexplained infections.