Clinical analysis of pulmonary sequestration with torsion in 4 cases and literature review

Abstract

Objective: To summarize and analyze the clinical characteristics of children pulmonary sequestration with torsion. Methods: The main clinical manifestations, auxiliary examinations (chest B ultrasound, chest enhanced CT, pathological results), treatment and prognosis of 4 cases with pulmonary sequestration with torsion in Shenzhen Children's Hospital from November 2010 to November 2020 were retrospectively analyzed. Results: Among the 4 children, 2 were male and female,The age was 3 years and 8 months, 6 years and 9 months, 7 years and 5 months, 10 years old respectively.All the 4 cases were extralobar sequestrations, 2 cases were on the left side and 2 cases were on the right side. Abdominal pain was the first symptom, followed by chest pain in 2 cases, fever in 2 cases, shortness of breath in 1 case; 4 cases of chest color ultrasonography showed the soft tissue masses in the chest, medium volume pleural effusion in 2 cases, small pleural effusion in 2 cases, enhanced chest CT showed soft tissue mass without enhancement or slight enhancement in all 4 cases, and the blood supply artery was not clearly shown. Pathological results showed pulmonary sequestration with hemorrhage and necrosis, and 4 cases were cured after thoracoscopic surgery. Conclusions: Abdominal pain is often the first or main symptom of pulmonary sequestration with torsion in children, accompanied by or without chest pain. Chest ultrasound and CT can reveal the soft tissue density mass which is not enhanced or slightly enhanced during enhancement, and the blood supply artery is unclear. The effect of resection is well.