J Korean Assoc Pediatr Surg.  2009 Dec;15(2):173-179.

Prenatally Diagnosed Extrapulmonary Sequestration: 2cases

Affiliations
  • 1Department of Surgery, Gacheon Medical School Gil Hospital, Incheon, Korea. khy@gilhospital.com
  • 2Department of pediatrics, Gacheon Medical School Gil Hospital, Incheon, Korea.
  • 3Department of Obstetrics and Gynecology, Gacheon Medical School Gil Hospital, Incheon, Korea.
  • 4Department of radiology, Gacheon Medical School Gil Hospital, Incheon, Korea.
  • 5Department of pathology, Gacheon Medical School Gil Hospital, Incheon, Korea.

Abstract

Congenital thoracic malformations such as intra- and extra-pulmonary sequestration, cystic adenomatoid malformation, congenital pulmonary airway malformation, malinosculation, bronchogenic cyst, reduplication cyst, and foregut cyst are frequently detected on routine prenatal ultrasound. There are some controversies about treatment for postnatally persistent pulmonary sequestration. Some authors recommend expectant long term follow up but most authors advocate elective surgical excision because of complication such as respiratory distress, infection, intrathoracic bleeding, haemoptysis, cardiac failure, and potential risk of malignancy. We experienced 2 cases of prenatally diagnosed extrapulmonary sequestration which were located in the subdiaphragmatic retroperitoneum. Resections were performed at 2 months and 4 months of age using intraabdominal approach. There were no complications. In conclusion, if the prenatally diagnosed extrapulmonary sequestration remained postnatally, early operation might reduce morbidity related to extrapulmonary sequestration and parental anxiety without any postoperative complication.

Keyword

Extrapulmonary sequestration; Operation

MeSH Terms

Anxiety
Bronchogenic Cyst
Bronchopulmonary Sequestration
Follow-Up Studies
Heart Failure
Hemorrhage
Humans
Parents
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