分画肺梗塞を合併した肺葉外肺分画症の1例 ならびに本邦報告142例の検討

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タイトル別名
  • A case of extralobar pulmonary sequestration with pulmonary sequestration infarction-A collective review of 142 cases reported in Japan.
  • A collective review of 142 cases reported in Japan
  • ならびに本邦報告142例の検討

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A 31-year-old male with extralobar pulmonary sequestration is reported. He complained of chest pain as the initial symptom. Chest X-ray films revealed a sharply rounded tumor overlapping the right cardiac shadow. A neurogenic posterior mediastinal tumor was suspected from chest CT findings. During Video-Assisted Thoracic Surgery (VATS), the tumor was located in the right lower lobe S10, and had a stalk connected to the middle mediastinum. We confirmed during VATS that the tumor was a pulmonary sequestration. Changing the VATS to the usual thoracotomy, the tumor was removed and histologically shown to be an extralobar pulmonary sequestration with pulmonary sequestration infarction. His postoperative course was uneventful. Extralobar pulmonary sequestration is a rare congenital pulmonary disease with an incidence lower than that of intralobar pulmonary sequestration. We reviewed 142 case reports in Japan.

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