Clinical and imaging features of extralobar pulmonary sequestration with torsion in children
10.3969/j.issn.1002-1671.2024.01.023
- VernacularTitle:儿童叶外型肺隔离症合并扭转的临床特点及影像学表现
- Author:
Huiping BAI
1
;
Yuewen HAO
;
Siwen WEI
;
Peng ZHANG
;
Aihui ZHANG
Author Information
1. 西安市儿童医院放射科,陕西 西安 710003
- Keywords:
children;
extralobar;
pulmonary sequestration;
torsion
- From:
Journal of Practical Radiology
2024;40(1):100-102
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical and imaging features of extralobar pulmonary sequestration(ELS)with torsion.Methods The clinical and imaging data,surgical records and pathological results of four ELS children with torsion were analyzed ret-rospectively.Results All four children presented with abdominal pain,and all CT scans showed soft tissue masses on the medial side of the lower lobe,and there were 2 masses with long fusculine-shaped in the right pleural cavity,2 round masses in the left pleural cavity,all of which were accompanied by pleural effusion and poor ventilation of adjacent lung lobes.There were 1 case without enhance-ment,1 case with mild enhancement,and 2 cases with simple marginal linear enhancement.There were no patients with definitive supplying artery and 3 cases with peripheral post-intercostal dilated veins.Intraoperative ELS combined with torsion was shown,and the nutrient artery were derived from the thoracic aorta.All ELS showed bleeding and necrosis according to the pathological results,and 1 case was complicated with congenital pulmonary airway malformation(type 2).Conclusion ELS combined with torsion is mostly abdominal pain as the first symptom,and there are soft tissue mass adjacent to the lower lobe with pleural effusion on the affected side as the imaging features with no,mild or marginal linear enhancement,with no supplying artery,and with intracostal posterior venous expansion.
