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Presented by Ralph Hruban, M.D. and prepared by Shien Micchelli, M.D.
Case 6: This new born was found to have a mass below the diaphragm.
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1. Question
Week 261: Case 6
This new born was found to have a mass below the diaphragm.images/3_13_06_6a.jpg
images/3_13_06_6b.jpg
images/3_13_06_6c.jpgCorrect
Answer: Extralobar sequestration
Histology: The histologic section shows relatively immature, but otherwise unremarkable, lung parenchyma.
Discussion: Pulmonary sequestration refers to the situation whereby a portion of lung tissue receives its blood supply from an anomalous systemic artery (Paediatr Respir Rev. 2004 Mar;5(1):59-68.). They can broadly be divided into three types: intralobar, extralobar and communicating bronchopulmonary foregut malformations. In this case the sequestration was below the diaphragm but not connected to the esophagus (foregut). It was therefore characterized as an extralobar sequestration.
Incorrect
Answer: Extralobar sequestration
Histology: The histologic section shows relatively immature, but otherwise unremarkable, lung parenchyma.
Discussion: Pulmonary sequestration refers to the situation whereby a portion of lung tissue receives its blood supply from an anomalous systemic artery (Paediatr Respir Rev. 2004 Mar;5(1):59-68.). They can broadly be divided into three types: intralobar, extralobar and communicating bronchopulmonary foregut malformations. In this case the sequestration was below the diaphragm but not connected to the esophagus (foregut). It was therefore characterized as an extralobar sequestration.