[Pulmonary sequestration in an infant]

M Kchouk1, A Sammoud, S Touibi

  • 1Service de Neuroradiologie, Institut de Neurologie, La Rabta, Tunis, Tunisie.

Annales De Pediatrie
|May 1, 1993
PubMed

Insights

Intralobar pulmonary sequestration, a rare lung condition, caused recurrent infections in an infant. Surgical removal of the affected lung area led to a full recovery, highlighting effective treatment for this congenital anomaly.

Area of Science:

  • Pediatric Surgery
  • Thoracic Medicine
  • Congenital Pulmonary Abnormalities

Background:

  • Intralobar pulmonary sequestration (IPS) is a rare congenital lung malformation.
  • It can lead to recurrent respiratory infections and complications in infants.
  • Early diagnosis and surgical intervention are crucial for favorable outcomes.

Observation:

  • A case of intralobar pulmonary sequestration in an infant presented with recurrent bronchopulmonary infections.
  • Chest imaging revealed a right lower lobe density with rapidly developing air-fluid levels.
  • Aortography identified systemic arterial supply to the sequestration from the thoracic aorta.

Findings:

  • Pathological examination of the resected specimen confirmed the diagnosis of intralobar pulmonary sequestration.
  • The sequestration received its blood supply from three distinct arteries originating from the thoracic aorta.
  • The infant experienced a satisfactory recovery following surgical resection.

Implications:

  • This case underscores the importance of considering intralobar pulmonary sequestration in infants with recurrent respiratory infections.
  • Accurate diagnosis through imaging and angiography is vital for surgical planning.
  • Successful surgical management of intralobar pulmonary sequestration leads to positive patient outcomes.

Related Concept Videos

Breathing01:05

Breathing

The process of breathing, inhaling and exhaling, involves the coordinated movement of the chest wall, the lungs, and the muscles that move them. Two muscle groups with important roles in breathing are the diaphragm, located directly below the lungs, and the intercostal muscles, which lie between the ribs. When the diaphragm contracts, it moves downward, increasing the volume of the thoracic cavity and creating more room for the lungs to expand. When the intercostal muscles contract, the ribs...
Pulmonary Cycle: Exhalation01:17

Pulmonary Cycle: Exhalation

In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
Pneumothorax-I01:26

Pneumothorax-I

A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pulmonary Embolism I: Introduction01:29

Pulmonary Embolism I: Introduction

Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
Pulmonary Edema II: Pathophysiology01:18

Pulmonary Edema II: Pathophysiology

Pulmonary edema is the accumulation of fluid in the interstitial and alveolar spaces of the lungs, impairing gas exchange and oxygen delivery. It may be cardiogenic or noncardiogenic, but both reduce oxygenation and lung compliance.Cardiogenic Pulmonary EdemaCardiogenic edema results from increased hydrostatic pressure in pulmonary capillaries, usually due to left ventricular dysfunction from myocardial infarction, heart failure, or valvular disease. Ineffective cardiac pumping causes blood to...