Revista Biomédica Revisada Por Pares
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Palabras clave: bronchopulmonary sequestration, intradiaphragmatic, congenital, pulmonary
Bronchopulmonary sequestration is a rare congenital malformation, consisting in a mass of nonfunctioning lung tissue with no connection to the tracheobronchial tree. It can be classified into intra- and extra-lobar. Extra-lobar bronchopulmonary sequestration accounts for 25% of them; of these, only 1% are intra-diaphragmatic. There is little international literature about intra-diaphragmatic bronchopulmonary sequestration and its diagnosis and treatment remain a challenge for the surgeon. Our case is a newborn with antenatal diagnosis of an abdominal mass by ultrasound and magnetic resonance imaging (MRI) showing a left adrenal tumor that appeared to be a neuroblastoma. Postnatal computed tomography (CT) revealed the likelihood of an intra-diaphragmatic bronchopulmonary sequestration, although neuroblastoma could not be ruled out. Abdominal laparoscopy was performed in the bulging left hemidiaphragmatic area. A combined thoracoscopic approach was decided which showed that the defect was located in between both cavities. This is the first case of intra-diaphragmatic bronchopulmonary sequestration reported in Chile.
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Bronchopulmonary sequestration is a rare congenital malformation, consisting in a mass of nonfunctioning lung tissue with no connection to the tracheobronchial tree. It can be classified into intra- and extra-lobar. Extra-lobar bronchopulmonary sequestration accounts for 25% of them; of these, only 1% are intra-diaphragmatic. There is little international literature about intra-diaphragmatic bronchopulmonary sequestration and its diagnosis and treatment remain a challenge for the surgeon. Our case is a newborn with antenatal diagnosis of an abdominal mass by ultrasound and magnetic resonance imaging (MRI) showing a left adrenal tumor that appeared to be a neuroblastoma. Postnatal computed tomography (CT) revealed the likelihood of an intra-diaphragmatic bronchopulmonary sequestration, although neuroblastoma could not be ruled out. Abdominal laparoscopy was performed in the bulging left hemidiaphragmatic area. A combined thoracoscopic approach was decided which showed that the defect was located in between both cavities. This is the first case of intra-diaphragmatic bronchopulmonary sequestration reported in Chile.
Autores:
Camila González Parra[1], Marisol Chávez Gatica[1], Camila Cuevas Vergara[1], Jorge Morales Sepúlveda[1], David Schnettler Rodríguez[2]
Citación: González Parra C, Chávez Gatica M, Cuevas Vergara C, Morales Sepúlveda J, Schnettler Rodríguez D. Intradiaphragmatic bronchopulmonary sequestration: a case report and review . Medwave 2015 Dic;15(11):e6341 doi: 10.5867/medwave.2015.11.6341
Fecha de envío: 26/10/2015
Fecha de aceptación: 7/12/2015
Fecha de publicación: 18/12/2015
Origen: no solicitado
Tipo de revisión: con revisión por dos pares revisores externos, a doble ciego
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Weinbaum PJ, Bors-Koefoed R, Green KW, Prenatt L. Antenatal sonographic findings in a case of intra-abdominal pulmonary sequestration. Obstet Gynecol. 1989 May;73(5 Pt 2):860-2.
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