{"title":"Extralobar pulmonary sequestration in children with abdominal pain: Four case reports.","authors":"Meng-Yuan Jiang, Yuan-Xiang Wang, Zhi-Wei Lu, Yue-Jie Zheng","doi":"10.4329/wjr.v16.i9.453","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Extralobar pulmonary sequestration (ELS) with torsion is extremely rare, consequently, the diagnosis of ELS with torsion in children presents a challenge for clinicians. Herein, we report four cases of ELS with torsion that presented with abdominal pain, and further review the relevant literature to summarize the clinical features.</p><p><strong>Case summary: </strong>Four children presented to our department with abdominal pain. All underwent chest computed tomography, which revealed an intrathoracic soft tissue mass with pleural effusion. All four children underwent thoracoscopic resection of the identified pulmonary sequestration, and the vascular pedicle was clipped and excised. None of the patients experienced any postoperative complications.</p><p><strong>Conclusion: </strong>Clinicians should consider the possibility of ELS with torsion in children presenting with abdominal pain as the chief complaint.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11440275/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"World journal of radiology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4329/wjr.v16.i9.453","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Extralobar pulmonary sequestration (ELS) with torsion is extremely rare, consequently, the diagnosis of ELS with torsion in children presents a challenge for clinicians. Herein, we report four cases of ELS with torsion that presented with abdominal pain, and further review the relevant literature to summarize the clinical features.
Case summary: Four children presented to our department with abdominal pain. All underwent chest computed tomography, which revealed an intrathoracic soft tissue mass with pleural effusion. All four children underwent thoracoscopic resection of the identified pulmonary sequestration, and the vascular pedicle was clipped and excised. None of the patients experienced any postoperative complications.
Conclusion: Clinicians should consider the possibility of ELS with torsion in children presenting with abdominal pain as the chief complaint.
背景:小叶外肺动脉栓塞(ELS)伴扭转极为罕见,因此,诊断儿童 ELS 伴扭转给临床医生带来了挑战。在此,我们报告了四例伴有腹痛的 ELS 扭转病例,并进一步回顾了相关文献,总结了其临床特征:四名儿童因腹痛到我科就诊。所有患儿均接受了胸部计算机断层扫描,结果显示胸腔内软组织肿块伴胸腔积液。所有四名患儿均接受了胸腔镜下肺包块切除术,并剪除和切除了血管蒂。所有患者均未出现术后并发症:结论:对于以腹痛为主诉的儿童,临床医生应考虑ELS扭转的可能性。