جستجوی مقالات مرتبط با کلیدواژه « Bronchopulmonary sequestration » در نشریات گروه « پزشکی »

Pulmonary sequestration is a relatively rare congenital malformation characterized by an abnormal mass of dysplastic lung tissue. This mass is separated from the bronchopulmonary tree and vascularized by an aberrant systemic artery. Pulmonary sequestration common symptoms are chest pain, persistent dry cough, shortness of breath, hemoptysis, and recurrent attractions of pneumonia. We report a case of a 45-year-old man who suffered from recurrent cough for one year and bleeding with pain in the left chest. He was eventually diagnosed with intralobar pulmonary sequestration. Surgical removal of the sequestration generally has good outcomes.

Congenital pulmonary lesions may be diagnosed through ultrasonographic screenings or be revealed as causes of respiratory distress in the neonatal period and infancy. Less commonly, they are detected as incidental features..
Our study represents the diversity of congenital pulmonary lesions and their characteristics during an 11-year period in a referral teaching children’s hospital in Tehran, the capital city of Iran..
Data from an 11-year period of patients with the final diagnosis of congenital pulmonary lesions in Mofid Children’s hospital were reviewed. The data included the prenatal ultrasonographic, postnatal radiographic, and pathologic diagnoses, along with the patient’s age, way of presentation, length of hospitalization, and accompanying features and morbidities..
Of 37 cases of congenital pulmonary lesions, 28 cases (75%) were boys. Thirty-six cases (97.2%) presented with pure pulmonary signs and symptoms. Of these cases, 16 (43.2%) were neonates, 17 (46%) were infants, and 4 (10.8%) were children. Twenty-seven (73%) patients missed the opportunity for early diagnosis. In order of frequency, cases were diagnosed as congenital lobar emphysema (43.5%), congenital cystic adenomatoid malformation (32.5%), pulmonary sequestration (19%), hybrid lesion (2.5%), or bronchogenic cyst (2.5%)..
In an analysis of retrospective data of 37 congenital pulmonary lesions, male predominance was obvious, as has been found in previous studies..

The most common space occupying lesions of the fetal thorax are congenital diaphragmatic hernia (CDH), congenital cystic adenomatoid malformation (CCAM), and bronchopulmonary sequestration (BPS). Although applications of prenatal MRI have been vastly improved in the recent years, its use in the assessment of space occupying lesions of the fetal chest differs among centers. To evaluate MRI findings in the diagnosis and follow-up of space-occupying lesions in the fetal chest with the review of relevant literature.Patients and The fetuses with space-occupying lesions of the chest were retrieved from our 1.5T fetal MRI database of 347 patients. MRI features including the shape, signal characteristics, feeding artery, margin, mass effect, affected organ parts and anatomic location were reviewed. The results were correlated with the pathology results, follow-up and surgical findings. Nineteen MR images of 17 fetuses (mean gestational age, 23.8 weeks) with spaceoccupying lesions (5 CCAMs including one involuted case), 2 BPSs, 2 hybrid lesions, 8 CDH) were evaluated. One case of CCAM completely involuted in utero, four newborns were operated, and the resulting 12 fetuses were terminated. The surgical and pathological findings were in accordance with MRI findings. MRI can reliably differentiate CDH from CCAM and BPS in utero. Follow-up is of utmost importance as lesions may involute or progress in utero. Prenatal MRI findings help postnatal decision-making, surgical planning and parental counseling.