Intra-abdominal extralobar pulmonary sequestration treatment using superselective transcatheter arterial embolization
Newborn Successfully Treated for Rare Intra-abdominal Pulmonary Sequestration
A 30-day-old newborn has made a remarkable recovery after undergoing surgery to treat an extremely rare condition known as intra-abdominal extralobar pulmonary sequestration (PS). This case, reported in a recent medical journal, highlights the successful application of modern medical techniques in managing such complex cases.
Symptoms and Diagnosis
Common symptoms of intra-abdominal extralobar pulmonary sequestration in neonates typically include respiratory distress, although some cases may be asymptomatic and detected incidentally by imaging. In this case, the patient had a history of recurrent left-sided pleural effusion. A CT scan with venous contrast identified an intrabdominal extralobar pulmonary sequestration on the left, associated with a diaphragmatic hernia.
Diagnostic methods used primarily involve prenatal and postnatal imaging techniques. Prenatal sonographic detection is a key method for identifying intra-abdominal extralobar pulmonary sequestration before birth. Postnatal imaging includes ultrasound, MRI, and contrast-enhanced CT. Contrast-enhanced CT can identify the systemic arterial supply, a hallmark of pulmonary sequestration.
Treatment and Recovery
The patient underwent left thoracotomy with excision of the accessory lung. The artery feeding the PS was embolized to reduce bleeding, and the accessory lung was devascularized during the embolization procedure. The left diaphragm was reconstructed using bovine pericardium.
Following the surgery, the patient remained asymptomatic and showed appropriate development for his age at 8 months of follow-up. He was discharged from the hospital after 4 days without complications.
What is Pulmonary Sequestration?
Pulmonary sequestration is a congenital anomaly characterized by a mass of nonfunctioning lung parenchyma. It receives a systemic arterial blood supply, which differentiates it from normal lung tissue. Intra-abdominal pulmonary sequestration is a rare subtype.
This case underscores the importance of early detection and effective treatment in managing complex paediatric cases. The successful outcome serves as a testament to the advancements in medical technology and surgical techniques.
[1] [Medical Journal Article] [2] [Medical Journal Article] [3] [Medical Journal Article] [5] [Medical Journal Article]
- Beyond the treatment of rare pulmonary sequestration, healthcare professionals are also dedicated to managing various other chronic conditions such as chronic kidney disease, respiratory conditions, and neurological disorders, promoting health and wellness through therapies and treatments.
- Modern medical advancements have enabled the successful treatment of medical-conditions like chronic-kidney-disease, chronic-diseases associated with the respiratory system, and even complex neurological disorders.
- In addition to rare intra-abdominal pulmonary sequestration, advancements in imaging technologies like ultrasound, MRI, and CT scans have proven essential in the early detection of various other medical-conditions, facilitating effective treatments and improving patients' lives.
- Diagnostic methods needed for detecting unusual conditions like pulmonary sequestration, neurological disorders, or chronic-diseases like chronic-kidney-disease and respiratory conditions, require a combination of prenatal and postnatal imaging techniques along with the knowledge in science and medical fields to comprehend the results and identify potential complications.
