Infradiaphragmatic extralobar pulmonary sequestration asossiated with duplication cyst of the gaster in newborn

Abstract

Introduction. The biggest difficulties of pulmonary sequestration treatment appear when they are combined with other congenital malformations.

Materials and methods. This article describes a rare case of combination of infradiaphragmatic extralobar sequestration of the lung and duplication cyst of the gaster. The antenatal ultrasound investigation at 21 week of gestation visualized a retroperitoneal mass that had a cystic-solid structure and a vessel that departed directly from the aorta. CT-scan that was performed after the birth, confirmed an existence of infradiaphragmatic cystic mass that had a vessel that departed directly from the aorta. We couldn’t exclude the neoplastic process because of structure and topography of mass. Tumor markers were without pathology. Surgical treatment was performed: laparotomy and removal of the cyst and extrapulmonary sequestration. The histological investigation confirmed a pulmonary sequestrum and duplication cyst of the gaster.

Conclusion. A nowadays method of visualization allows to find congenital malformation in earliest stages of gestation. The tradition surgical treatment and also minimal invasive surgical treatment are the main option of cure such congenital malformations. Also literature review of rare clinical forms of pulmonary sequestration presented in this article.

Keywords

infradiaphragmatic extralobar sequestration / duplication cyst of the gaster / newborns

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RIGHTS & PERMISSIONS

Krivosheenko N.V., Gramzin A.V., Pavlushin P.M., Manakova Y.L., Shpak L.M., Koinov Y.Y., Chikinev Y.V.