title: Undiagnosed pulmonary sequestration results in an unexplained hemorrhagic shock in thoracoscopic pulmonary lobectomy.
abstract: We report the first case of pulmonary sequestration which was not detected in the preoperative evaluation, resulting in a life-threatening hemorrhagic shock rapidly during the procedure of thoracoscopic pulmonary lobectomy. The anesthesiologists could not figure out the reason for the hemorrhagic shock in the surgery until an emergent laparotomy was performed. The aim of presenting this clinical case is to highlight the vigilance for undiagnosed pulmonary sequestration which lacks any specific clinical feature but has the potential to become an anesthetic disaster.
authors.affiliation: Department of Anesthesiology and Translational Neuroscience Center, West China Hospital, Sichuan University, No. 37, Guo-xue-xiang, Chengdu, Sichuan 610041, China.
authors.forename: Rui
authors.initials: R
authors.lastname: Li
authors.affiliation: Department of Intensive Care Unit, West China Hospital, Sichuan University, No. 37, Guo-xue-xiang, Chengdu, Sichuan 610041, China.
authors.forename: Huiping
authors.initials: H
authors.lastname: Li
authors.affiliation: Department of Anesthesiology, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu, Sichuan 610072, China.
authors.forename: Tao
authors.initials: T
authors.lastname: Liang
authors.affiliation: Department of Anesthesiology and Translational Neuroscience Center, West China Hospital, Sichuan University, No. 37, Guo-xue-xiang, Chengdu, Sichuan 610041, China. Electronic address: chaoranwu@aliyun.com.
authors.forename: Chaoran
authors.initials: C
authors.lastname: Wu
mesh_terms: D000316:Adrenergic alpha-Agonists / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001998:Bronchopulmonary Sequestration / Q000150:complications* / Q000601:surgery; D003102:Colloids / Q000627:therapeutic use; D000077324:Crystalloid Solutions; D004837:Epinephrine / Q000627:therapeutic use; D006801:Humans; D007552:Isotonic Solutions / Q000627:therapeutic use; D008168:Lung / Q000601:surgery; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D008875:Middle Aged; D009638:Norepinephrine / Q000627:therapeutic use; D012771:Shock, Hemorrhagic / Q000188:drug therapy / Q000209:etiology*
chemical_list: D000316:Adrenergic alpha-Agonists; D000893:Anti-Inflammatory Agents; D003102:Colloids; D000077324:Crystalloid Solutions; D007552:Isotonic Solutions; D009638:Norepinephrine; D008775:Methylprednisolone; D004837:Epinephrine
keywords: Anesthesia; Hemorrhagic shock; Pulmonary sequestration