Congenital cystic adenomatoid malformation connected to an extralobar pulmonary sequestration in the contralateral chest: Common origin?
Extralobar pulmonary sequestration (ELS) and congenital cystic adenomatoid malformation have been reported to coexist in several variations. This suggests a common embryologic origin. A 6-month-old boy presented with a history of recurrent pneumonias. The patient was diagnosed with a right lower lob...
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Veröffentlicht in: | Journal of pediatric surgery 2004-08, Vol.39 (8), p.e13-e17 |
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description | Extralobar pulmonary sequestration (ELS) and congenital cystic adenomatoid malformation have been reported to coexist in several variations. This suggests a common embryologic origin. A 6-month-old boy presented with a history of recurrent pneumonias. The patient was diagnosed with a right lower lobe congenital cystic adenomatoid malformation (CCAM) and a left lower lobe ELS/CCAM. The diagnosis was made with the aid of a multidetector computed tomography (CT). Three-dimensional CT reconstruction showed the presence of a right lower lobe CCAM, a left lower ELS with an aberrant arterial supply from the celiac axis, and possible venous drainage into the right CCAM. The patient underwent a right thoracotomy. Intraoperatively, the lesions were discovered to be connected by a band of tissue. The right lower lobe CCAM and the left ELS were removed from the right chest. Histologic analysis confirmed the presence of a CCAM within the right lower lobe. The ELS had involvement of a type II CCAM within the sequestration. The connection between the right CCAM and left ELS/CCAM showed an anomalous conducting airway, anomalous vein, and anomalous artery connecting the 2 lesions. The authors present the first case of a CCAM connected to an ELS/CCAM in the contralateral hemithorax. The unique anatomic configuration of these lesions suggests a common embryologic origin of ELS and CCAM. |
doi_str_mv | 10.1016/j.jpedsurg.2004.04.044 |
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This suggests a common embryologic origin. A 6-month-old boy presented with a history of recurrent pneumonias. The patient was diagnosed with a right lower lobe congenital cystic adenomatoid malformation (CCAM) and a left lower lobe ELS/CCAM. The diagnosis was made with the aid of a multidetector computed tomography (CT). Three-dimensional CT reconstruction showed the presence of a right lower lobe CCAM, a left lower ELS with an aberrant arterial supply from the celiac axis, and possible venous drainage into the right CCAM. The patient underwent a right thoracotomy. Intraoperatively, the lesions were discovered to be connected by a band of tissue. The right lower lobe CCAM and the left ELS were removed from the right chest. Histologic analysis confirmed the presence of a CCAM within the right lower lobe. The ELS had involvement of a type II CCAM within the sequestration. The connection between the right CCAM and left ELS/CCAM showed an anomalous conducting airway, anomalous vein, and anomalous artery connecting the 2 lesions. The authors present the first case of a CCAM connected to an ELS/CCAM in the contralateral hemithorax. The unique anatomic configuration of these lesions suggests a common embryologic origin of ELS and CCAM.</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/j.jpedsurg.2004.04.044</identifier><identifier>PMID: 15300558</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Bronchopulmonary Sequestration - diagnostic imaging ; Bronchopulmonary Sequestration - embryology ; Bronchopulmonary Sequestration - surgery ; congenital cystic adenomatoid malformation ; congenital lung malformations ; Cystic Adenomatoid Malformation of Lung, Congenital - diagnostic imaging ; Cystic Adenomatoid Malformation of Lung, Congenital - embryology ; Cystic Adenomatoid Malformation of Lung, Congenital - surgery ; Extralobar pulmonary sequestration ; Humans ; Imaging, Three-Dimensional ; Infant ; Infant, Newborn ; Lung - blood supply ; Lung - embryology ; lung development ; Male ; Mesoderm - physiology ; Models, Biological ; Pneumonia - etiology ; Recurrence ; Respiratory Distress Syndrome, Newborn - etiology ; Thoracotomy ; Tomography, Spiral Computed</subject><ispartof>Journal of pediatric surgery, 2004-08, Vol.39 (8), p.e13-e17</ispartof><rights>2004 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c364t-a0f87a3a15a3b7584c9fa750efd9d4182b44290ba215688f7ffbd9b0cc1bcc3e3</citedby><cites>FETCH-LOGICAL-c364t-a0f87a3a15a3b7584c9fa750efd9d4182b44290ba215688f7ffbd9b0cc1bcc3e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022346804002957$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15300558$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McLean, Sean E.</creatorcontrib><creatorcontrib>Pfeifer, John D.</creatorcontrib><creatorcontrib>Siegel, Marilyn J.</creatorcontrib><creatorcontrib>Jensen, Eric R.</creatorcontrib><creatorcontrib>Schuler, Pamela M.</creatorcontrib><creatorcontrib>Hirsch, Russel</creatorcontrib><creatorcontrib>Mychaliska, George B.</creatorcontrib><title>Congenital cystic adenomatoid malformation connected to an extralobar pulmonary sequestration in the contralateral chest: Common origin?</title><title>Journal of pediatric surgery</title><addtitle>J Pediatr Surg</addtitle><description>Extralobar pulmonary sequestration (ELS) and congenital cystic adenomatoid malformation have been reported to coexist in several variations. This suggests a common embryologic origin. A 6-month-old boy presented with a history of recurrent pneumonias. The patient was diagnosed with a right lower lobe congenital cystic adenomatoid malformation (CCAM) and a left lower lobe ELS/CCAM. The diagnosis was made with the aid of a multidetector computed tomography (CT). Three-dimensional CT reconstruction showed the presence of a right lower lobe CCAM, a left lower ELS with an aberrant arterial supply from the celiac axis, and possible venous drainage into the right CCAM. The patient underwent a right thoracotomy. Intraoperatively, the lesions were discovered to be connected by a band of tissue. The right lower lobe CCAM and the left ELS were removed from the right chest. Histologic analysis confirmed the presence of a CCAM within the right lower lobe. The ELS had involvement of a type II CCAM within the sequestration. The connection between the right CCAM and left ELS/CCAM showed an anomalous conducting airway, anomalous vein, and anomalous artery connecting the 2 lesions. The authors present the first case of a CCAM connected to an ELS/CCAM in the contralateral hemithorax. The unique anatomic configuration of these lesions suggests a common embryologic origin of ELS and CCAM.</description><subject>Bronchopulmonary Sequestration - diagnostic imaging</subject><subject>Bronchopulmonary Sequestration - embryology</subject><subject>Bronchopulmonary Sequestration - surgery</subject><subject>congenital cystic adenomatoid malformation</subject><subject>congenital lung malformations</subject><subject>Cystic Adenomatoid Malformation of Lung, Congenital - diagnostic imaging</subject><subject>Cystic Adenomatoid Malformation of Lung, Congenital - embryology</subject><subject>Cystic Adenomatoid Malformation of Lung, Congenital - surgery</subject><subject>Extralobar pulmonary sequestration</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Lung - blood supply</subject><subject>Lung - embryology</subject><subject>lung development</subject><subject>Male</subject><subject>Mesoderm - physiology</subject><subject>Models, Biological</subject><subject>Pneumonia - etiology</subject><subject>Recurrence</subject><subject>Respiratory Distress Syndrome, Newborn - etiology</subject><subject>Thoracotomy</subject><subject>Tomography, Spiral Computed</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkcFu3CAQhlHVqtmkfYWIU2_eDAZsby9ttWrSSpF6Sc4Iw7BhZcMW7Cp5gz528e5WPVYaCQHfz8_MT8g1gzUD1tzs1_sD2jyn3boGEOtjiVdkxSRnlQTeviYrgLquuGi6C3KZ8x6gHAN7Sy4KBCBltyK_tzHsMPhJD9S85Mkbqi2GOOopektHPbiYysbHQE0MAc2Elk6R6kDxeUp6iL1O9DAPYww6vdCMP2fM5eIo8YFOT7goF1RPmBafpwJ8pNs4Fg2Nye98-PSOvHF6yPj-vF6Rx9uvD9tv1f2Pu-_bL_eV4Y2YKg2uazXXTGret7ITZuN0KwGd3VjBuroXot5Ar2smm65zrXO93fRgDOuN4civyIfTu4cUjz9Vo88Gh0EHjHNWTdO2vAFZwOYEmhRzTujUIfmxtKgYqCUDtVd_M1BLBupYogivzw5zP6L9JzsPvQCfTwCWPn95TCobj8Gg9anMV9no_-fxB_rvoHM</recordid><startdate>20040801</startdate><enddate>20040801</enddate><creator>McLean, Sean E.</creator><creator>Pfeifer, John D.</creator><creator>Siegel, Marilyn J.</creator><creator>Jensen, Eric R.</creator><creator>Schuler, Pamela M.</creator><creator>Hirsch, Russel</creator><creator>Mychaliska, George B.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20040801</creationdate><title>Congenital cystic adenomatoid malformation connected to an extralobar pulmonary sequestration in the contralateral chest: Common origin?</title><author>McLean, Sean E. ; Pfeifer, John D. ; Siegel, Marilyn J. ; Jensen, Eric R. ; Schuler, Pamela M. ; Hirsch, Russel ; Mychaliska, George B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c364t-a0f87a3a15a3b7584c9fa750efd9d4182b44290ba215688f7ffbd9b0cc1bcc3e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Bronchopulmonary Sequestration - diagnostic imaging</topic><topic>Bronchopulmonary Sequestration - embryology</topic><topic>Bronchopulmonary Sequestration - surgery</topic><topic>congenital cystic adenomatoid malformation</topic><topic>congenital lung malformations</topic><topic>Cystic Adenomatoid Malformation of Lung, Congenital - diagnostic imaging</topic><topic>Cystic Adenomatoid Malformation of Lung, Congenital - embryology</topic><topic>Cystic Adenomatoid Malformation of Lung, Congenital - surgery</topic><topic>Extralobar pulmonary sequestration</topic><topic>Humans</topic><topic>Imaging, Three-Dimensional</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Lung - blood supply</topic><topic>Lung - embryology</topic><topic>lung development</topic><topic>Male</topic><topic>Mesoderm - physiology</topic><topic>Models, Biological</topic><topic>Pneumonia - etiology</topic><topic>Recurrence</topic><topic>Respiratory Distress Syndrome, Newborn - etiology</topic><topic>Thoracotomy</topic><topic>Tomography, Spiral Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McLean, Sean E.</creatorcontrib><creatorcontrib>Pfeifer, John D.</creatorcontrib><creatorcontrib>Siegel, Marilyn J.</creatorcontrib><creatorcontrib>Jensen, Eric R.</creatorcontrib><creatorcontrib>Schuler, Pamela M.</creatorcontrib><creatorcontrib>Hirsch, Russel</creatorcontrib><creatorcontrib>Mychaliska, George B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McLean, Sean E.</au><au>Pfeifer, John D.</au><au>Siegel, Marilyn J.</au><au>Jensen, Eric R.</au><au>Schuler, Pamela M.</au><au>Hirsch, Russel</au><au>Mychaliska, George B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Congenital cystic adenomatoid malformation connected to an extralobar pulmonary sequestration in the contralateral chest: Common origin?</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>2004-08-01</date><risdate>2004</risdate><volume>39</volume><issue>8</issue><spage>e13</spage><epage>e17</epage><pages>e13-e17</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><abstract>Extralobar pulmonary sequestration (ELS) and congenital cystic adenomatoid malformation have been reported to coexist in several variations. This suggests a common embryologic origin. A 6-month-old boy presented with a history of recurrent pneumonias. The patient was diagnosed with a right lower lobe congenital cystic adenomatoid malformation (CCAM) and a left lower lobe ELS/CCAM. The diagnosis was made with the aid of a multidetector computed tomography (CT). Three-dimensional CT reconstruction showed the presence of a right lower lobe CCAM, a left lower ELS with an aberrant arterial supply from the celiac axis, and possible venous drainage into the right CCAM. The patient underwent a right thoracotomy. Intraoperatively, the lesions were discovered to be connected by a band of tissue. The right lower lobe CCAM and the left ELS were removed from the right chest. Histologic analysis confirmed the presence of a CCAM within the right lower lobe. The ELS had involvement of a type II CCAM within the sequestration. The connection between the right CCAM and left ELS/CCAM showed an anomalous conducting airway, anomalous vein, and anomalous artery connecting the 2 lesions. The authors present the first case of a CCAM connected to an ELS/CCAM in the contralateral hemithorax. The unique anatomic configuration of these lesions suggests a common embryologic origin of ELS and CCAM.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>15300558</pmid><doi>10.1016/j.jpedsurg.2004.04.044</doi></addata></record> |
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subjects | Bronchopulmonary Sequestration - diagnostic imaging Bronchopulmonary Sequestration - embryology Bronchopulmonary Sequestration - surgery congenital cystic adenomatoid malformation congenital lung malformations Cystic Adenomatoid Malformation of Lung, Congenital - diagnostic imaging Cystic Adenomatoid Malformation of Lung, Congenital - embryology Cystic Adenomatoid Malformation of Lung, Congenital - surgery Extralobar pulmonary sequestration Humans Imaging, Three-Dimensional Infant Infant, Newborn Lung - blood supply Lung - embryology lung development Male Mesoderm - physiology Models, Biological Pneumonia - etiology Recurrence Respiratory Distress Syndrome, Newborn - etiology Thoracotomy Tomography, Spiral Computed |
title | Congenital cystic adenomatoid malformation connected to an extralobar pulmonary sequestration in the contralateral chest: Common origin? |
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