Extralobar Pulmonary Sequestration Presenting with Recurring Massive Pleural Effusion in a Young Woman: A Challenging Case - 09/12/15

Doi : 10.1016/j.hlc.2015.09.006

Fabio Davoli, MD, PhD ^a,^⁎ , Davide Turello, MD ^a, Guido Valente, MD ^b, Ottavio Rena, MD, PhD ^a, Alberto Roncon, MD ^a, Guido Baietto, MD ^a, Caterina Casadio, MD ^a
^a Thoracic Surgery Unit, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria “Maggiore della Carità”, Novara, Italy
^b Department of Pathology, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria “Maggiore della Carità”, Novara, Italy

^⁎Corresponding author. Thoracic Surgery Unit, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria “Maggiore della Carità”, Corso Mazzini 18, 28100- Novara - Italy. Tel.: +39 3491597046; fax: +39 03213733578.

Riassunto

We report a case of extralobar pulmonary sequestration (ELS) in a young woman, presenting with right recurring massive pleural effusion. The patient initially underwent a diagnostic Video Assisted Thoracic Surgery (VATS) for a suspected diffuse malignancy. After the aspiration of the pleural effusion we observed a highly vascularised cystic mass, with its origin from the right lower lobe.

As we tried to retract the right lower lobe, the mass broke with massive bleeding requiring emergency right lateral thoracotomy. The mass was succesfully excised, resembling an extra-lobar pulmonary sequestration. The patient was discharged on post-operative day 5.

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Keywords : Extralobar pulmonary sequestration, Pleural effusion, VATS, Bleeding, Thoracotomy

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Introduction

Case Report

Discussion

© 2015 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Pubblicato da Elsevier Masson SAS. Tutti i diritti riservati.

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Vol 25 - N° 1

P. e13-e15 - gennaio 2016 Ritorno al numero

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Extralobar Pulmonary Sequestration Presenting with Recurring Massive Pleural Effusion in a Young Woman: A Challenging Case - 09/12/15

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