Гетеротопия легкого в брюшную полость у новорожденной девочки

Abstract

Heterotopia is the spatial displacement of an organ during prenatal development. The literature data describe rare cases of the extralobar sequestration of the lung in different locations, such as neck soft tissues, chest wall, endocardium of the left ventricle, skin, rectum, eye orbit as well as the subretinal space. The paper presents a clinical case of the rare lung heterotopia in the abdominal cavity diagnosed 6 days after birth in a girl. The baby was born after a full-term complicated pregnancy by Caesarean section. Body weight at birth was 3680 g, height 50 cm, 7/8 points on the Apgar scale. The condition of the newborn was severe. On the third day after delivery, an attack of tachycardia up to 205 beats per minute and a drop in blood pressure was recorded and stopped within 15 minutes. On the 6th day after birth, an ultrasound revealed an echogenic inhomogeneous tumor-like formation 22 × 28 × 20 mm in size with multiple aneechogenic cavities with a diameter of up to 6 mm, which was removed laparoscopically on the 10th postpartum day in the neonatal surgery department of the Scientific Center of Children Health of the Ministry of Health of the Russian Federation. Pathological examination of the surgical material revealed that the formation was represented by lung tissue. The girl was discharged in satisfactory condition and fully conscious. This heterotopia could probably appear due to complications of pregnancy in the first and third trimesters, since a fetal malformation, not otherwise specified, was diagnosed in the first trimester, and the threatened miscarriage, increased blood pressure and edema were recorded in the third trimester. Keywords: heterotopia of the lung, high-risk pregnancy.