{"title":"叶外肺隔离性梗死引起突发性背部疼痛：一例成人手术切除。","authors":"Noriyoshi Sawabata, Isao Arai, Hisanori Hatano, Takashi Ito, Yuko Fukumoto, Takayuki Minoji, Kotaro Muranishi, Takahiko Nishigaki, Ken Konishi, Kazuyuki Matsushita, Kazunori Nakaguchi, Sadayuki Doi, Keishi Sugimoto","doi":"10.70352/scrj.cr.24-0032","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Ischemia in extra-lobar pulmonary sequestration is rare and mostly occurs in childhood; it is uncommon in adults but can be progressive, necessitating surgical removal.</p><p><strong>Case presentation: </strong>A 37-year-old woman experienced sudden onset severe back pain and was initially diagnosed with pneumonia. Computed tomography revealed a 4.5 cm mass on the diaphragm and rapidly increasing pleural effusion. Emergency surgery confirmed a black mass that adhered to the diaphragm, which could be bluntly detached, but one was fixed in a cord shape that was detached by an energy device. Pathology showed significant hemorrhage and tissue destruction in extra-lobar pulmonary sequestration.</p><p><strong>Conclusions: </strong>Extra-lobar pulmonary sequestration infarction, which develops suddenly with pain as the main complaint, is rare and mainly seen in early childhood but can also occur in adults.</p>","PeriodicalId":22096,"journal":{"name":"Surgical Case Reports","volume":"11 1","pages":""},"PeriodicalIF":0.7000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850078/pdf/","citationCount":"0","resultStr":"{\"title\":\"Extra-Lobar Lung Sequestration Infarction That Caused Sudden Back Pain: An Adult Case of Surgical Resection.\",\"authors\":\"Noriyoshi Sawabata, Isao Arai, Hisanori Hatano, Takashi Ito, Yuko Fukumoto, Takayuki Minoji, Kotaro Muranishi, Takahiko Nishigaki, Ken Konishi, Kazuyuki Matsushita, Kazunori Nakaguchi, Sadayuki Doi, Keishi Sugimoto\",\"doi\":\"10.70352/scrj.cr.24-0032\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Ischemia in extra-lobar pulmonary sequestration is rare and mostly occurs in childhood; it is uncommon in adults but can be progressive, necessitating surgical removal.</p><p><strong>Case presentation: </strong>A 37-year-old woman experienced sudden onset severe back pain and was initially diagnosed with pneumonia. Computed tomography revealed a 4.5 cm mass on the diaphragm and rapidly increasing pleural effusion. Emergency surgery confirmed a black mass that adhered to the diaphragm, which could be bluntly detached, but one was fixed in a cord shape that was detached by an energy device. Pathology showed significant hemorrhage and tissue destruction in extra-lobar pulmonary sequestration.</p><p><strong>Conclusions: </strong>Extra-lobar pulmonary sequestration infarction, which develops suddenly with pain as the main complaint, is rare and mainly seen in early childhood but can also occur in adults.</p>\",\"PeriodicalId\":22096,\"journal\":{\"name\":\"Surgical Case Reports\",\"volume\":\"11 1\",\"pages\":\"\"},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850078/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Surgical Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.70352/scrj.cr.24-0032\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/31 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgical Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.70352/scrj.cr.24-0032","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/31 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
Extra-Lobar Lung Sequestration Infarction That Caused Sudden Back Pain: An Adult Case of Surgical Resection.
Introduction: Ischemia in extra-lobar pulmonary sequestration is rare and mostly occurs in childhood; it is uncommon in adults but can be progressive, necessitating surgical removal.
Case presentation: A 37-year-old woman experienced sudden onset severe back pain and was initially diagnosed with pneumonia. Computed tomography revealed a 4.5 cm mass on the diaphragm and rapidly increasing pleural effusion. Emergency surgery confirmed a black mass that adhered to the diaphragm, which could be bluntly detached, but one was fixed in a cord shape that was detached by an energy device. Pathology showed significant hemorrhage and tissue destruction in extra-lobar pulmonary sequestration.
Conclusions: Extra-lobar pulmonary sequestration infarction, which develops suddenly with pain as the main complaint, is rare and mainly seen in early childhood but can also occur in adults.
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