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Congenital communicating bronchopulmonary foregut malformation including ectopic pancreatic tissue in an infant
BACKGROUND: Several reports have documented that the pulmonary sequestration is in communication with the gastrointestinal tract and the concept of bronchopulmonary foregut malformation (BPFM) has become more widespread. However, there are few reports of the sequestration associated with the pancrea...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8144249/ https://www.ncbi.nlm.nih.gov/pubmed/34028645 http://dx.doi.org/10.1186/s40792-021-01211-w |
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author | Oyachi, Noboru Numano, Fuminori Koizumi, Keiichi Shinohara, Tamao Matsubara, Hirochika |
author_facet | Oyachi, Noboru Numano, Fuminori Koizumi, Keiichi Shinohara, Tamao Matsubara, Hirochika |
author_sort | Oyachi, Noboru |
collection | PubMed |
description | BACKGROUND: Several reports have documented that the pulmonary sequestration is in communication with the gastrointestinal tract and the concept of bronchopulmonary foregut malformation (BPFM) has become more widespread. However, there are few reports of the sequestration associated with the pancreas derived from the foregut. We describe the history and pathophysiology of BPFM including pancreatic tissue in a male infant with respiratory distress. CASE PRESENTATION: A male patient was born at 38 weeks of gestation and weighed 2752 g at birth. He developed pneumonia and was hospitalized at 3 months of age. Chest radiographs and CT scans led to the diagnosis of a lung abscess in the left lower intralobar pulmonary sequestration with aberrant arteries from the abdominal cavity. At 4 months of age, when the abscess had resolved, left lower lobectomy and the resection of the intralobar sequestration were performed. The pulmonary sequestration was conjoined with the esophagus. A fistula was found between the lower esophageal wall and the pulmonary sequestration. An additional small segment of the esophageal wall was excised. Histologically, the mediastinal surface of the sequestration tissue contained pancreatic tissue. Furthermore, esophageal and gastric tissue, cartilage tissue, and ciliated epithelium were confirmed. A definitive diagnosis of BPFM was made. CONCLUSIONS: We postulated the rare case of a communicating BPFM with intrapulmonary sequestration on one end and the esophagus on the other forming a mass lesion, which included ectopic pancreatic tissue in a male infant. |
format | Online Article Text |
id | pubmed-8144249 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-81442492021-06-09 Congenital communicating bronchopulmonary foregut malformation including ectopic pancreatic tissue in an infant Oyachi, Noboru Numano, Fuminori Koizumi, Keiichi Shinohara, Tamao Matsubara, Hirochika Surg Case Rep Case Report BACKGROUND: Several reports have documented that the pulmonary sequestration is in communication with the gastrointestinal tract and the concept of bronchopulmonary foregut malformation (BPFM) has become more widespread. However, there are few reports of the sequestration associated with the pancreas derived from the foregut. We describe the history and pathophysiology of BPFM including pancreatic tissue in a male infant with respiratory distress. CASE PRESENTATION: A male patient was born at 38 weeks of gestation and weighed 2752 g at birth. He developed pneumonia and was hospitalized at 3 months of age. Chest radiographs and CT scans led to the diagnosis of a lung abscess in the left lower intralobar pulmonary sequestration with aberrant arteries from the abdominal cavity. At 4 months of age, when the abscess had resolved, left lower lobectomy and the resection of the intralobar sequestration were performed. The pulmonary sequestration was conjoined with the esophagus. A fistula was found between the lower esophageal wall and the pulmonary sequestration. An additional small segment of the esophageal wall was excised. Histologically, the mediastinal surface of the sequestration tissue contained pancreatic tissue. Furthermore, esophageal and gastric tissue, cartilage tissue, and ciliated epithelium were confirmed. A definitive diagnosis of BPFM was made. CONCLUSIONS: We postulated the rare case of a communicating BPFM with intrapulmonary sequestration on one end and the esophagus on the other forming a mass lesion, which included ectopic pancreatic tissue in a male infant. Springer Berlin Heidelberg 2021-05-24 /pmc/articles/PMC8144249/ /pubmed/34028645 http://dx.doi.org/10.1186/s40792-021-01211-w Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Case Report Oyachi, Noboru Numano, Fuminori Koizumi, Keiichi Shinohara, Tamao Matsubara, Hirochika Congenital communicating bronchopulmonary foregut malformation including ectopic pancreatic tissue in an infant |
title | Congenital communicating bronchopulmonary foregut malformation including ectopic pancreatic tissue in an infant |
title_full | Congenital communicating bronchopulmonary foregut malformation including ectopic pancreatic tissue in an infant |
title_fullStr | Congenital communicating bronchopulmonary foregut malformation including ectopic pancreatic tissue in an infant |
title_full_unstemmed | Congenital communicating bronchopulmonary foregut malformation including ectopic pancreatic tissue in an infant |
title_short | Congenital communicating bronchopulmonary foregut malformation including ectopic pancreatic tissue in an infant |
title_sort | congenital communicating bronchopulmonary foregut malformation including ectopic pancreatic tissue in an infant |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8144249/ https://www.ncbi.nlm.nih.gov/pubmed/34028645 http://dx.doi.org/10.1186/s40792-021-01211-w |
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