[Intralobar pulmonary sequestration as the cause of neonatal respiratory distress].
A male infant 15 hours old with congenital intralobar pulmonary sequestration is described. The boy was born with tachypnea and cyanosis. A chest film revealed mediastinal displacement secondary to a cystic lesions in the lower left lobe. During surgery the lesion was found to be irrigated by an artery coming from the thoracic aorta and venous drainage was into the inferior vena cava. The lesion was spongiform and microscopic examination revealed alveolar parenchyma with irregular, dilated bronchiolar structures. Intralobar sequestrations have seldom been described in infants. Our case suggests that this malformation is congenital. We discuss the diagnostic possibilities of pulmonary cystic lesions that cause respiratory distress in neonates.
Serrano
A
A
Servicio de Cuidados Intensivos Pediátricos, Hospital del Niño Jesús, Universidad Autónoma, Madrid.
Santonja
C
C
Calderón
J A
JA
Ruiz-López
M J
MJ
Mínguez
A
A
D001998:Bronchopulmonary Sequestration / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D015615:Cystic Adenomatoid Malformation of Lung, Congenital / Q000175:diagnosis; D003937:Diagnosis, Differential; D006801:Humans; D007231:Infant, Newborn; D008168:Lung / Q000473:pathology; D008297:Male; D011013:Pneumonectomy; D012127:Respiratory Distress Syndrome, Newborn / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery