A rare cause of intrathorasic mass in an asymptomatic child
Pulmoner sekestrasyon trakeobronşiyal ağaçla ilişkisi olmayan ve kan akımını pulmoner arterler yerine anormal bir sistemik arterden sağlayan, fonksiyon göstermeyen primitif dokudan oluşmuş, nadir görülen, genellikle kistik bir kitledir. İntralober pulmoner sekestrasyon genellikle geç çocukluk çağı veya erişkin çağda hasta enfeksiyon ile başvurduğunda tanınır. Ekstralober pulmoner sekestrasyonlu hastaların çoğu infant döneminde solunum sıkıntısı ve kronik öksürük ile başvurur. Burada, timpanostomi tüpü yerleştirilmek üzere rutin preoperatif tetkikler yapılırken akciğer filminde tesadüfen ekstralober pulmoner sekestrasyon saptanan dokuz yaşındaki bir kız olguyu sunduk.
Asemptomatik bir çocuktaki nadir bir intratorasik kitle nedeni
Pulmonary sequestration is an uncommon usually cystic mass of nonfunctioning primitive tissue that does not communicate with the tracheobronchial tree that receives it’s blood supply from an anomalous systemic artery rather than the pulmonary arteries. Intralobar pulmonary sequestration is usually diagnosed later in childhood or adulthood when the patient presents with pulmonary infection. Many patients with extralobar pulmonary sequestration present during infancy with pulmonary respiratory distress and chronic cough. Here, we reported a case of extralobar pulmonary sequestration found coincidentally on chest radiograph in a nine year old girl during routine preoperative investigations for insertion of tympanostomy tube.
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