Infradiaphragmatic extralobar pulmonary sequestration masquerading as an intra-abdominal, suprarenal mass.
Three infants were found to have infradiaphragmatic masses by prenatal ultrasound. Postnatal imaging studies confirmed the presence of these masses, which were suspected of being intra-abdominal malignancies (neuroblastoma). The other principal differential diagnosis was extralobar pulmonary sequestration (EPS). Intraoperative findings were consistent with EPS, which was confirmed by histologic examination. We present these three infants, review the literature, and discuss the evaluation and treatment of infradiaphragmatic EPS.
Gross
E
E
The University of Tennessee, Memphis, Section of Pediatric Surgery, 777 Washington Avenue, Ste P-210, Memphis, TN 38105, USA.
Chen
M K
MK
Lobe
T E
TE
Nuchtern
J G
JG
Rao
B N
BN
D000008:Abdominal Neoplasms / Q000175:diagnosis*; D001998:Bronchopulmonary Sequestration / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D008297:Male; D009447:Neuroblastoma / Q000175:diagnosis*; D011247:Pregnancy; D014057:Tomography, X-Ray Computed; D016216:Ultrasonography, Prenatal