Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com
Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
Clinical History:
The patient was a nine week old female with coughing spells and
wheezing but no fever. The coughing was non productive.
Clinical Physical Exam:
Unremarkable
Clinical Labs:
Non-contributory
Clinical Differential Diagnosis:
Pneumonia
Imaging Findings:
A chest film demonstrated a paraspinal mass in the chest. A chest CT
exam better defined the mass.
Imaging Differential Diagnosis:
Neuroblastoma, ganglioneuroblastoma, ganglioneuroma.
Operative Findings:
A left thoracotomy was performed. The mass was attached to the
posterior mediastinum by a pedicle. It had no connection to the lung.
It's arterial supply came from the aorta above the diaphragm. The
mass was removed.
Pathological Findings:
Pathological examination revealed findings compatible with an
extralobar pulmonary sequestration.
Final Diagnosis:
Extralobar Pulmonary Sequestration
Follow-up and Prognosis:
The patient had an uncomplicated post-operative course.
Similar Cases:
Case 16
References:
Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com
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