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Intra-abdominal pulmonary sequestration: a case report and literature review

Liangren Liu1, Ping Han, Yuchun Zhu

  • 1Department of Urology, West China Hospital, Sichuan University, Chengdu, PR China.

Urologia Internationalis
|October 5, 2011
PubMed

Insights

Intra-abdominal pulmonary sequestration is an extremely rare congenital malformation. This case highlights its diagnosis in an elderly patient, emphasizing surgical resection for excellent outcomes.

Area of Science:

  • Congenital Malformations
  • Thoracic and Abdominal Surgery
  • Diagnostic Histopathology

Background:

  • Pulmonary sequestration is a rare congenital lung malformation, typically thoracic.
  • Intra-abdominal pulmonary sequestration (IAPS) is exceptionally rare, usually diagnosed in infancy.
  • Differentiating IAPS from retroperitoneal tumors poses diagnostic challenges.

Observation:

  • A 74-year-old asymptomatic male presented with a retroperitoneal mass.
  • The mass was surgically excised.
  • Histopathological examination confirmed the diagnosis of intra-abdominal pulmonary sequestration.

Findings:

  • This case represents one of the oldest reported patients diagnosed with IAPS.
  • Complete surgical resection was achieved.
  • The patient remained asymptomatic post-surgery.

Implications:

  • IAPS should be considered in the differential diagnosis of retroperitoneal masses, even in older adults.
  • Early and complete surgical excision is crucial for favorable prognosis in IAPS.
  • Further research may elucidate the presentation and management of IAPS in elderly populations.

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