Pulmonary Sequestration and Diaphragmatic Eventration in a 6-month-old Infant
A congenital pulmonary malformation, such as pulmonary sequestration or congenital cystic adenomatoid malformation, should be suspected in infants with recurrent lower respiratory symptoms or unifocal infiltrations. The possibility of congenital pulmonary malformation associated with additional abno...
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| Format: | Article |
| Language: | English |
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Elsevier
2012-02-01
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| Series: | Pediatrics and Neonatology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S187595721100177X |
| _version_ | 1818041958719815680 |
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| author | Hsing-Ching Kuo Chich-Yang Chang Joseph-Hang Leung |
| author_facet | Hsing-Ching Kuo Chich-Yang Chang Joseph-Hang Leung |
| author_sort | Hsing-Ching Kuo |
| collection | DOAJ |
| description | A congenital pulmonary malformation, such as pulmonary sequestration or congenital cystic adenomatoid malformation, should be suspected in infants with recurrent lower respiratory symptoms or unifocal infiltrations. The possibility of congenital pulmonary malformation associated with additional abnormalities, such as diaphragmatic hernia, is relatively high and can lead to misdiagnosis. We report a case of a 6-month-old girl who presented with relapsing respiratory infection and hematemesis. Computerized axial tomography scan and barium swallowing study were performed, revealing a suspected intralobar pulmonary sequestration associated with sliding gastric hernia. Since the patient’s condition was complicated by sliding hernia, pneumonia and pleural effusion, a surgical procedure instead of cardiac catheterization with coil embolization was performed. During surgery, the absence of a sliding gastric hernia but a diaphragmatic eventration was noted. Only a partial portion of the left-side diaphragm was relaxing, making the barium swallowing study difficult to interpret. This case serves as a reminder that if pulmonary sequestration is suspected, a full work-up with a complete set of imaging studies should be ordered for the possible detection of associated gastrointestinal, respiratory and thoracic abnormalities. |
| first_indexed | 2024-12-10T08:38:42Z |
| format | Article |
| id | doaj.art-ed2727c817ee42db912deb8210eb89ab |
| institution | Directory Open Access Journal |
| issn | 1875-9572 |
| language | English |
| last_indexed | 2024-12-10T08:38:42Z |
| publishDate | 2012-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Pediatrics and Neonatology |
| spelling | doaj.art-ed2727c817ee42db912deb8210eb89ab2022-12-22T01:55:55ZengElsevierPediatrics and Neonatology1875-95722012-02-01531636710.1016/j.pedneo.2011.11.013Pulmonary Sequestration and Diaphragmatic Eventration in a 6-month-old InfantHsing-Ching Kuo0Chich-Yang Chang1Joseph-Hang Leung2Pediatric Department, Chia-Yi Christian Hospital, Chia Yi City, TaiwanDepartment of Pediatric Surgery, Chia-Yi Christian Hospital, Chia Yi City, TaiwanDepartment of Radiology, Chia-Yi Christian Hospital, Chia Yi City, TaiwanA congenital pulmonary malformation, such as pulmonary sequestration or congenital cystic adenomatoid malformation, should be suspected in infants with recurrent lower respiratory symptoms or unifocal infiltrations. The possibility of congenital pulmonary malformation associated with additional abnormalities, such as diaphragmatic hernia, is relatively high and can lead to misdiagnosis. We report a case of a 6-month-old girl who presented with relapsing respiratory infection and hematemesis. Computerized axial tomography scan and barium swallowing study were performed, revealing a suspected intralobar pulmonary sequestration associated with sliding gastric hernia. Since the patient’s condition was complicated by sliding hernia, pneumonia and pleural effusion, a surgical procedure instead of cardiac catheterization with coil embolization was performed. During surgery, the absence of a sliding gastric hernia but a diaphragmatic eventration was noted. Only a partial portion of the left-side diaphragm was relaxing, making the barium swallowing study difficult to interpret. This case serves as a reminder that if pulmonary sequestration is suspected, a full work-up with a complete set of imaging studies should be ordered for the possible detection of associated gastrointestinal, respiratory and thoracic abnormalities.http://www.sciencedirect.com/science/article/pii/S187595721100177Xdiaphragmatic eventrationhematemesispneumoniapulmonary sequestration |
| spellingShingle | Hsing-Ching Kuo Chich-Yang Chang Joseph-Hang Leung Pulmonary Sequestration and Diaphragmatic Eventration in a 6-month-old Infant Pediatrics and Neonatology diaphragmatic eventration hematemesis pneumonia pulmonary sequestration |
| title | Pulmonary Sequestration and Diaphragmatic Eventration in a 6-month-old Infant |
| title_full | Pulmonary Sequestration and Diaphragmatic Eventration in a 6-month-old Infant |
| title_fullStr | Pulmonary Sequestration and Diaphragmatic Eventration in a 6-month-old Infant |
| title_full_unstemmed | Pulmonary Sequestration and Diaphragmatic Eventration in a 6-month-old Infant |
| title_short | Pulmonary Sequestration and Diaphragmatic Eventration in a 6-month-old Infant |
| title_sort | pulmonary sequestration and diaphragmatic eventration in a 6 month old infant |
| topic | diaphragmatic eventration hematemesis pneumonia pulmonary sequestration |
| url | http://www.sciencedirect.com/science/article/pii/S187595721100177X |
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