title: Extralobar Pulmonary Sequestration Presenting with Recurring Massive Pleural Effusion in a Young Woman: A Challenging Case.
abstract: 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.
authors.affiliation: Thoracic Surgery Unit, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria "Maggiore della Carità", Novara, Italy. Electronic address: fab_78_16l@hotmail.com.
authors.forename: Fabio
authors.initials: F
authors.lastname: Davoli
authors.affiliation: Thoracic Surgery Unit, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria "Maggiore della Carità", Novara, Italy.
authors.forename: Davide
authors.initials: D
authors.lastname: Turello
authors.affiliation: Department of Pathology, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria "Maggiore della Carità", Novara, Italy.
authors.forename: Guido
authors.initials: G
authors.lastname: Valente
authors.affiliation: Thoracic Surgery Unit, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria "Maggiore della Carità", Novara, Italy.
authors.forename: Ottavio
authors.initials: O
authors.lastname: Rena
authors.affiliation: Thoracic Surgery Unit, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria "Maggiore della Carità", Novara, Italy.
authors.forename: Alberto
authors.initials: A
authors.lastname: Roncon
authors.affiliation: Thoracic Surgery Unit, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria "Maggiore della Carità", Novara, Italy.
authors.forename: Guido
authors.initials: G
authors.lastname: Baietto
authors.affiliation: Thoracic Surgery Unit, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria "Maggiore della Carità", Novara, Italy.
authors.forename: Caterina
authors.initials: C
authors.lastname: Casadio
mesh_terms: D000328:Adult; D001998:Bronchopulmonary Sequestration / Q000473:pathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D016066:Pleural Effusion, Malignant / Q000473:pathology* / Q000601:surgery*; D020775:Thoracic Surgery, Video-Assisted
keywords: Bleeding; Extralobar pulmonary sequestration; Pleural effusion; Thoracotomy; VATS