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Infected Infradiaphragmatic Retroperitoneal Extralobar Pulmonary Sequestration: A Case Report
Infradiaphragmatic extralobar pulmonary sequestration is an extremely rare congenital malformation. It is more frequently diagnosed in the antenatal period due to routine ultrasonic examination of the fetus or in the first 6 months of life, though on rare occasions it is discovered incidentally in a...
Autores principales: | , , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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The Korean Academy of Medical Sciences
2005
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2779312/ https://www.ncbi.nlm.nih.gov/pubmed/16361825 http://dx.doi.org/10.3346/jkms.2005.20.6.1070 |
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author | Kim, Hyun Koo Choi, Young Ho Ryu, Se Min Kim, Han Kyeom Chae, Yang Seok Sohn, Young-sang Kim, Hark Jei |
author_facet | Kim, Hyun Koo Choi, Young Ho Ryu, Se Min Kim, Han Kyeom Chae, Yang Seok Sohn, Young-sang Kim, Hark Jei |
author_sort | Kim, Hyun Koo |
collection | PubMed |
description | Infradiaphragmatic extralobar pulmonary sequestration is an extremely rare congenital malformation. It is more frequently diagnosed in the antenatal period due to routine ultrasonic examination of the fetus or in the first 6 months of life, though on rare occasions it is discovered incidentally in adults. A 32-yr-old man presenting with epigastric discomfort and fever was referred. Computed tomographic scanning showed that a 16-cm, multiseptated, dumbbell-shaped, huge cystic tumor was located beneath the diaphragm. On the next day, 850 mL of thick yellowish pus was drained by sonography-guided fine needle aspiration for the purpose of infection control and diagnosis, but no microscopic organisms were found in repeated culture studies. Surgical removal of the cyst was performed through thoracoabdominal incision and most of these pathologic lesions were removed but we could not find the feeding arteries or any fistulous tract to surrounding structures. Histopathologic study revealed that it was extralobar pulmonary sequestration and culture study showed that many WBC and necrotic materials were found but there were no microorganisms in the cystic contents. We report the first case of an infected infradiaphragmatic retroperitoneal extralobar sequestration which was administered a staged management and achieved an excellent clinical course. |
format | Text |
id | pubmed-2779312 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2005 |
publisher | The Korean Academy of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-27793122009-11-20 Infected Infradiaphragmatic Retroperitoneal Extralobar Pulmonary Sequestration: A Case Report Kim, Hyun Koo Choi, Young Ho Ryu, Se Min Kim, Han Kyeom Chae, Yang Seok Sohn, Young-sang Kim, Hark Jei J Korean Med Sci Case Report Infradiaphragmatic extralobar pulmonary sequestration is an extremely rare congenital malformation. It is more frequently diagnosed in the antenatal period due to routine ultrasonic examination of the fetus or in the first 6 months of life, though on rare occasions it is discovered incidentally in adults. A 32-yr-old man presenting with epigastric discomfort and fever was referred. Computed tomographic scanning showed that a 16-cm, multiseptated, dumbbell-shaped, huge cystic tumor was located beneath the diaphragm. On the next day, 850 mL of thick yellowish pus was drained by sonography-guided fine needle aspiration for the purpose of infection control and diagnosis, but no microscopic organisms were found in repeated culture studies. Surgical removal of the cyst was performed through thoracoabdominal incision and most of these pathologic lesions were removed but we could not find the feeding arteries or any fistulous tract to surrounding structures. Histopathologic study revealed that it was extralobar pulmonary sequestration and culture study showed that many WBC and necrotic materials were found but there were no microorganisms in the cystic contents. We report the first case of an infected infradiaphragmatic retroperitoneal extralobar sequestration which was administered a staged management and achieved an excellent clinical course. The Korean Academy of Medical Sciences 2005-12 2005-12-31 /pmc/articles/PMC2779312/ /pubmed/16361825 http://dx.doi.org/10.3346/jkms.2005.20.6.1070 Text en Copyright © 2005 The Korean Academy of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Kim, Hyun Koo Choi, Young Ho Ryu, Se Min Kim, Han Kyeom Chae, Yang Seok Sohn, Young-sang Kim, Hark Jei Infected Infradiaphragmatic Retroperitoneal Extralobar Pulmonary Sequestration: A Case Report |
title | Infected Infradiaphragmatic Retroperitoneal Extralobar Pulmonary Sequestration: A Case Report |
title_full | Infected Infradiaphragmatic Retroperitoneal Extralobar Pulmonary Sequestration: A Case Report |
title_fullStr | Infected Infradiaphragmatic Retroperitoneal Extralobar Pulmonary Sequestration: A Case Report |
title_full_unstemmed | Infected Infradiaphragmatic Retroperitoneal Extralobar Pulmonary Sequestration: A Case Report |
title_short | Infected Infradiaphragmatic Retroperitoneal Extralobar Pulmonary Sequestration: A Case Report |
title_sort | infected infradiaphragmatic retroperitoneal extralobar pulmonary sequestration: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2779312/ https://www.ncbi.nlm.nih.gov/pubmed/16361825 http://dx.doi.org/10.3346/jkms.2005.20.6.1070 |
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