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Extralobar sequestration of the lung in children
Progress in Pediatric Surgery
|January 1, 1987
Summary
Extralobar sequestration of the lung, a rare congenital lung malformation, presents with varied symptoms and is diagnosed via chest X-ray. Surgical removal is the standard treatment for this condition.
Area of Science:
- Pulmonology
- Pediatric Surgery
- Thoracic Surgery
Background:
- Extralobar sequestration of the lung is a congenital lung malformation.
- It can present with various respiratory symptoms or be incidentally diagnosed.
Purpose of the Study:
- To report on a series of patients with extralobar sequestration of the lung.
- To describe the clinical presentation, diagnostic methods, and treatment outcomes.
Main Methods:
- Retrospective review of 16 patients diagnosed with extralobar sequestration.
- Diagnosis confirmed by chest X-ray.
- Preoperative imaging (angiography, bronchography) in select cases.
- Surgical resection via thoracotomy.
Main Results:
- 16 patients diagnosed with extralobar sequestration, aged 21 days to 12 years.
- Common symptoms included dyspnea, pneumonia, coughing, cyanosis, and asthma-like symptoms.
- Diagnosis was incidental in 4 patients.
- Associated malformations were present in 10 patients.
- Typical features like systemic arterial supply were often absent.
Conclusions:
- Extralobar sequestration has a variable clinical presentation.
- Chest X-ray is effective for diagnosis.
- Surgical management is straightforward.
- Associated anomalies are common.