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Congenital cystic-adenomatous malformations of the lower lobe of the left lung in combination with intralobar pulmonary sequestration
- Authors: Strashinski A.S.1, Stalmakhovich V.N.2, Kaygorodova I.N.1, Li I.B.1
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Affiliations:
- Irkutsk State Regional Children’s Clinical Hospital
- Irkutsk State Academy of Postgraduate Education
- Issue: Vol 25, No 4 (2021)
- Pages: 274-277
- Section: CASE REPORT
- URL: https://jps-nmp.ru/jour/article/view/351
- DOI: https://doi.org/10.18821/1560-9510-2021-25-4-274-277
- ID: 351
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Abstract
Introduction. A combination of two rare congenital lung diseases - congenital cystic-adenomatous malformation of the lower lobe of the left lung and intralobar sequestration of the lung- is an extremely rare pathology in medical practice.
Material and methods. The article describes a case of successful treatment of an 8-year-old child with cystic-adenomatous transformation of the lower lobe of the left lung in combination with intralobar sequestration. A child with chronic pneumonia was prescribed CT of his chest organs with intravenous contrast enhancement. A combination of cystic adenomatous malformation with intralobar sequestration of the lung was revealed at this examination. The sequestration zone was supplied with blood via the artery from the thoracic aorta, and the wide vein went towards the opposite hemithorax and flowed into the azygos vein. The patient had a planned surgery: left-sided lateral thoracotomy, lower lobectomy with ligation of additional vessels.
Results. The early postoperative period was uneventful. Next year, there were no exacerbations of pneumonia. The child considers himself healthy. The histological report No. 31568 - 31577 confirmed type II cystic adenomatous malformation with sequestration of the lung.
Conclusion. Modern diagnostic tools allow to put a correct diagnosis at the preoperative stage. In the described case, possible intraoperative complications were avoided because surgeons knew specific blood supply in the diseased area before surgery.
Keywords
About the authors
A. S. Strashinski
Irkutsk State Regional Children’s Clinical Hospital
Email: fake@neicon.ru
ORCID iD: 0000-0002-1911-4468
Irkutsk, 664022
Russian FederationV. N. Stalmakhovich
Irkutsk State Academy of Postgraduate Education
Author for correspondence.
Email: Stal.irk@mail.ru
ORCID iD: 0000-0002-4885-123X
Viktor N. Stаlmakhovich, MD, Dr.Sc.(med), professor, head of department of pediatric surgery
Irkutsk, 664049
Russian FederationI. N. Kaygorodova
Irkutsk State Regional Children’s Clinical Hospital
Email: fake@neicon.ru
ORCID iD: 0000-0002-2332-9285
Irkutsk, 664022
Russian FederationI. B. Li
Irkutsk State Regional Children’s Clinical Hospital
Email: fake@neicon.ru
ORCID iD: 0000-0003-1979-4616
Irkutsk, 664022
Russian FederationReferences
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