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October 1997

Pathological Case of the Month

Author Affiliations

From the Departments of Pathology (Drs Iravani and Gilbert-Barness and Ms Debich-Spicer) and Pediatric Surgery (Dr Bower), University of South Florida, Tampa, Fla. Dr Iravani is now with the Department of Pathology, University of Michigan, Ann Arbor.

Arch Pediatr Adolesc Med. 1997;151(10):1059-1060. doi:10.1001/archpedi.1997.02170470093020

A 10-YEAR-OLD male infant was born at term (birth weight, 2860 g) by spontaneous vaginal delivery to a 24-year-old gravida 4, para 2, aborta 2 mother. Prenatal ultrasonographic examination at 20 weeks' gestation revealed a mass in the left lung. At delivery, hypotension, shock, and transient tachypnea were evident and the infant was transferred to the neonatal intensive care unit to exclude sepsis. The infant remained afebrile, and his leukocyte count was within normal limits. No further respiratory tract compromise was observed. A magnetic resonance imaging scan with contrast medium showed a mass in the left lung, with 4 distinct feeding vessels originating from the descending aorta. A computed tomographic scan with contrast medium revealed pockets of air within the mass (Figure 1). An uneventful lobectomy of the left lower lobe of the lung was performed (Figure 2, Figure 3 and Figure 4).

Diagnosis and Discussion

Bronchopulmonary Sequestration, Intralobar Type

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