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Pulmonary sequestration cyst in a patient of cerebral palsy

Bilal Mirza1, Muhammad Saleem, Lubna Ijaz

  • 1Department of Pediatric Surgery, The Children's Hospital and The Institute of Child Health, Lahore, Pakistan.

Lung India : Official Organ of Indian Chest Society
|September 3, 2011
PubMed

Insights

Pulmonary sequestration cysts are rare in children, often found incidentally. This case highlights a complex pediatric presentation involving multiple congenital anomalies, including a pulmonary sequestration cyst.

Area of Science:

  • Pediatric Surgery
  • Thoracic Surgery
  • Congenital Anomalies

Background:

  • Pulmonary sequestration cysts are uncommon in pediatric patients, frequently discovered as incidental findings.
  • These cysts are often associated with other congenital abnormalities, notably congenital diaphragmatic hernia.

Purpose of the Study:

  • To report a rare case of pediatric pulmonary sequestration cyst.
  • To discuss the diagnostic and management challenges in a patient with multiple congenital anomalies.

Main Methods:

  • Case report of a pediatric patient with cerebral palsy presenting with vomiting and recurrent chest infections.
  • Diagnosis of hiatal hernia via computed tomography scan of the chest.
  • Surgical exploration revealing pulmonary sequestration cyst, hiatal hernia, malrotation, and Meckel's diverticulum.

Main Results:

  • A pediatric patient with cerebral palsy presented with symptoms suggestive of gastrointestinal and respiratory issues.
  • Computed tomography identified a hiatal hernia.
  • Surgical intervention revealed a complex case with a pulmonary sequestration cyst and other congenital anomalies.

Conclusions:

  • Pulmonary sequestration cysts can present atypically in children with co-existing congenital anomalies.
  • Multifocal congenital anomalies require comprehensive surgical planning and execution.
  • Transhiatal approach was utilized for the management of the sequestration cyst in this complex case.

Keywords:
Bronchopulmonary sequestrationforegut malrotationhiatal herniameckel's diverticulum

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