Intralobar bronchopulmonary sequestration in the newborn--a congenital malformation.
BACKGROUND
Intralobar sequestration (ILS) has been suggested to be an acquired lesion. However, we have observed several young infants who had ILS.


OBJECTIVE
Since this fact seems to indicate a congenital origin, we reviewed our experience.


METHODS
A retrospective review of bronchopulmonary sequestration from the Departments of Radiology and Pathology in Lund between 1964 and 1997.


RESULTS
We identified seven infants or young children with a diagnosis of intralobar sequestration. In each patient, the ILS was present before recurrent infection developed. Five had chest X-rays as neonates, one at 3 months and one at 11 months of age. All but one showed an abnormality on their first chest X-ray, consistent with sequestration. Six of the ILS were verified at angiography; all seven were surgically removed. Two of the children with ILS also had congenital cystic adenomatoid malformation (CCAM). Three children had both ILS and scimitar syndrome.


CONCLUSIONS
The fact that ILS was present in seven newborn and young infants indicates that this lesion is, at least in some patients, a congenital malformation.
Laurin
S
S
Department of Radiology, University of Lund, Sweden.
Hägerstrand
I
I
D000792:Angiography; D001998:Bronchopulmonary Sequestration / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D001999:Bronchoscopy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008168:Lung / Q000098:blood supply; D008297:Male; D013902:Radiography, Thoracic; D012189:Retrospective Studies