Infradiaphragmatic extralobar pulmonary sequestration asossiated with duplication cyst of the gaster in newborn

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Abstract

Introduction. The biggest difficulties of pulmonary sequestration treatment appear when they are combined with other congenital malformations.

Materials and methods. This article describes a rare case of combination of infradiaphragmatic extralobar sequestration of the lung and duplication cyst of the gaster. The antenatal ultrasound investigation at 21 week of gestation visualized a retroperitoneal mass that had a cystic-solid structure and a vessel that departed directly from the aorta. CT-scan that was performed after the birth, confirmed an existence of infradiaphragmatic cystic mass that had a vessel that departed directly from the aorta. We couldn’t exclude the neoplastic process because of structure and topography of mass. Tumor markers were without pathology. Surgical treatment was performed: laparotomy and removal of the cyst and extrapulmonary sequestration. The histological investigation confirmed a pulmonary sequestrum and duplication cyst of the gaster.

Conclusion. A nowadays method of visualization allows to find congenital malformation in earliest stages of gestation. The tradition surgical treatment and also minimal invasive surgical treatment are the main option of cure such congenital malformations. Also literature review of rare clinical forms of pulmonary sequestration presented in this article.

About the authors

Nikolai V. Krivosheenko

Novosibirsk District Clinical Hospital

Author for correspondence.
Email: knv-0284@mail.ru
ORCID iD: 0000-0001-6210-7493

Pediatric surgeon

Russian Federation, Novosibirsk

Alexey V. Gramzin

Novosibirsk District Clinical Hospital; Novosibirsk State Medical University of the Ministry of Health of Russia

Email: dxo26@yandex.ru

Pediatric surgeon; Assistant Professor of the Department

Russian Federation, Novosibirsk

Pavel M. Pavlushin

Novosibirsk District Clinical Hospital; Novosibirsk State Medical University of the Ministry of Health of Russia

Email: dxo26@yandex.ru

Pediatric surgeon; Assistant Professor of Department of Hospital and Pediatric Surgery

Russian Federation, Novosibirsk

Yana L. Manakova

Novosibirsk District Clinical Hospital; Novosibirsk State Medical University of the Ministry of Health of Russia

Email: dxo26@yandex.ru

Head of X-ray Department

Russian Federation, Novosibirsk

Larisa M. Shpak

Novosibirsk District Clinical Hospital

Email: dxo26@yandex.ru

Pathologist

Russian Federation, Novosibirsk

Yuri Yu. Koinov

Novosibirsk District Clinical Hospital

Email: dxo26@yandex.ru
ORCID iD: 0000-0002-9528-0601

Pediatric surgeon

Russian Federation, Novosibirsk

Yuri V. Chikinev

Novosibirsk District Clinical Hospital; Novosibirsk State Medical University of the Ministry of Health of Russia

Email: chikinev@inbox.ru

Dr. Sci. (Med.), Professor, Chief Thoracic Surgeon; Head of Department of Hospital and Pediatric Surgery

Russian Federation, Novosibirsk

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Fetal MRI (а) and postnatal CT of chest (b) and abdomen (с) with contrast with visualization of mass that has a cystic-solid structure and a vessel that departs directly from the aorta (indicated by a white arrow)

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3. Fig. 2. View of the duplication cyst, the common wall with the stomach is visualised

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4. Fig. 3. Infradiaphragmatic lung sequestrum with an aberrant vessel

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5. Fig. 4. Gross specimen of excised pulmonary sequestrum and duplication cyst of the gaster

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6. Fig. 5. The histological picture of the duplication cyst of the stomach

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7. Fig. 6. The histological picture of the lung sequestrum

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