Jiang MY, Wang YX, Lu ZW, Zheng YJ. Extralobar pulmonary sequestration in children with abdominal pain: Four case reports. World J Radiol 2024; 16(9): 453-459 [PMID: 39355393 DOI: 10.4329/wjr.v16.i9.453]
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Meng-Yuan Jiang, Zhi-Wei Lu, Yue-Jie Zheng, Department of Respiratory Diseases, Shenzhen Children's Hospital, Shenzhen 518038, Guangdong Province, China
Yuan-Xiang Wang, Department of Cardiothoracic Surgery, Shenzhen Children's Hospital, Shenzhen 518038, Guangdong Province, China
Author contributions: Jiang MY contributed to manuscript writing and data collection; Lu ZW contributed to data analysis and manuscript review and editing; Wang YX and Zheng YJ contributed to manuscript review and editing; all authors have read and approved the final manuscript.
Supported byShenzhen Fund for Guangdong Provincial High-level Clinical Key Specialties, No. SZGSP012; and Shenzhen Key Medical Discipline Construction Fund, No. SZXK032.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patients’ parents/guardians agreed to treatment by written consent.
Conflict-of-interest statement: All authors declare that they have no conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Received: April 17, 2024 Revised: August 22, 2024 Accepted: August 26, 2024 Published online: September 28, 2024 Processing time: 163 Days and 6.4 Hours
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.
Core Tip: Extralobar pulmonary sequestration (ELS) with torsion is relatively rare, and typically occurs in the left hemithorax. It generally presents in children; however, there is a high probability of misdiagnosis or missed diagnosis because of its atypical symptoms. As such, clinicians need to be more aware of the possibility of torsion of an ELS.
