Secuestro pulmonar intralobar basal derecho en un paciente pediátrico. Reporte de caso.
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| Title: | Secuestro pulmonar intralobar basal derecho en un paciente pediátrico. Reporte de caso. |
|---|---|
| Alternate Title: | Right basal intralobar pulmonary sequestration in a pediatric patient. Case report. |
| Authors: | Navarro Montoya, Tania Lorena1 tanianavinp@gmail.com, Iglesias Morales, Melissa Gabriela1, Pinzón Obregón, Carlos Ernesto1, Vera-Duarte, Guillermo Raúl2, Segura Solis, Emma3, Rodríguez Jurado, Rodolfo Rafael3, Alva Chaire, Adriana Del Carmen1, Cuevas Schacht, Francisco Javier1 |
| Source: | Acta Pediatrica de Mexico. nov/dic2025, Vol. 46 Issue 6, p614-620. 7p. |
| Subjects: | CHILD patients, PNEUMONIA, RESPIRATORY organ abnormalities, COMPUTED tomography, HUMAN abnormalities, RESPIRATORY distress syndrome, SURGICAL excision |
| Abstract (English): | BACKGROUND: Pulmonary sequestration is a congenital malformation of the foregut affecting pulmonary parenchyma and vasculature. It consists of non-functional lung tissue, separated from the tracheobronchial tree, receiving blood supply with blood supply from systemic arteries, typically originating from the aorta. Diagnosis is often suspected in cases of recurrent pneumonia or severe respiratory distress in neonates and infants, frequently associated with other congenital anomalies. It may also appear incidentally on chest X-rays in approximately 10-20% of asymptomatic patients. CASE REPORT: We present the case of an 8-year-old female who was diagnosed with community-acquired pneumonia. Imaging studies revealed consolidation in the middle and lower right lobes with dystrophic calcifications and an air bronchogram. A computed tomography angiography (Angio-CT) demonstrated arterial supply arising from the right wall of the descending thoracic artery. An aberrant vessel originating from the aorta was observed during a right lateral thoracotomy. CONCLUSIONS: This case of right basal intralobar pulmonary sequestration in a pediatric patient exemplifies shows a rare pathology, accounting for 0.1-6.4% of congenital malformations in the lower respiratory tract, with intralobar location in 75-85% of cases and left-sided occurrence in 60%. This uncommon congenital condition, primarily diagnosed in adulthood, is often suspected when recurrent pneumonias persist in the same location. Surgical resection is the treatment of choice. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | INTRODUCCIÓN: El secuestro pulmonar es una malformación congénita del intestino anterior que afecta el parénquima pulmonar y su vasculatura. Consiste en tejido pulmonar no funcional, separado del árbol traqueobronquial, que recibe su irrigación de arterias sistémicas, generalmente provenientes de la aorta. Su diagnóstico se sospecha en casos de neumonía recurrente o dificultad respiratoria severa en neonatos y lactantes, con frecuencia se asocia a otras anomalías congénitas. También puede encontrarse incidentalmente en radiografías de tórax en pacientes asintomáticos, en aproximadamente el 10-20% de los casos. CASO CLÍNICO: Paciente femenino de 8 años con diagnóstico de neumonía adquirida en la comunidad. Las imágenes mostraron consolidación en los lóbulos medio e inferior derecho, con calcificaciones distróficas y broncograma aéreo. Una angiotomografía computarizada (Angio-TAC) evidenció una irrigación arterial proveniente de la pared derecha de la arteria torácica descendente. Durante una toracotomía lateral derecha, se observó un vaso aberrante originario de la aorta. CONCLUSIONES: Este caso de secuestro pulmonar intralobar basal derecho en una paciente pediátrica es un ejemplo raro de una patología que representa del 0.1 al 6.4% de las malformaciones congénitas del tracto respiratorio inferior, siendo intralobar en el 75-85% de los casos y del lado izquierdo en el 60%. Esta condición congénita poco frecuente, que suele diagnosticarse en la adultez, se sospecha en presencia de neumonías recurrentes persistentes en el mismo sitio. El tratamiento indicado es quirúrgico. [ABSTRACT FROM AUTHOR] |
| Copyright of Acta Pediatrica de Mexico is the property of Instituto Nacional de Pediatria (INP) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: lth DbLabel: MedicLatina An: 190596775 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Secuestro pulmonar intralobar basal derecho en un paciente pediátrico. Reporte de caso. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Right basal intralobar pulmonary sequestration in a pediatric patient. Case report. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Navarro+Montoya%2C+Tania+Lorena%22">Navarro Montoya, Tania Lorena</searchLink><relatesTo>1</relatesTo><i> tanianavinp@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Iglesias+Morales%2C+Melissa+Gabriela%22">Iglesias Morales, Melissa Gabriela</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Pinzón+Obregón%2C+Carlos+Ernesto%22">Pinzón Obregón, Carlos Ernesto</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Vera-Duarte%2C+Guillermo+Raúl%22">Vera-Duarte, Guillermo Raúl</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Segura+Solis%2C+Emma%22">Segura Solis, Emma</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Rodríguez+Jurado%2C+Rodolfo+Rafael%22">Rodríguez Jurado, Rodolfo Rafael</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Alva+Chaire%2C+Adriana+Del+Carmen%22">Alva Chaire, Adriana Del Carmen</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Cuevas+Schacht%2C+Francisco+Javier%22">Cuevas Schacht, Francisco Javier</searchLink><relatesTo>1</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Acta+Pediatrica+de+Mexico%22">Acta Pediatrica de Mexico</searchLink>. nov/dic2025, Vol. 46 Issue 6, p614-620. 7p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22CHILD+patients%22">CHILD patients</searchLink><br /><searchLink fieldCode="DE" term="%22PNEUMONIA%22">PNEUMONIA</searchLink><br /><searchLink fieldCode="DE" term="%22RESPIRATORY+organ+abnormalities%22">RESPIRATORY organ abnormalities</searchLink><br /><searchLink fieldCode="DE" term="%22COMPUTED+tomography%22">COMPUTED tomography</searchLink><br /><searchLink fieldCode="DE" term="%22HUMAN+abnormalities%22">HUMAN abnormalities</searchLink><br /><searchLink fieldCode="DE" term="%22RESPIRATORY+distress+syndrome%22">RESPIRATORY distress syndrome</searchLink><br /><searchLink fieldCode="DE" term="%22SURGICAL+excision%22">SURGICAL excision</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: BACKGROUND: Pulmonary sequestration is a congenital malformation of the foregut affecting pulmonary parenchyma and vasculature. It consists of non-functional lung tissue, separated from the tracheobronchial tree, receiving blood supply with blood supply from systemic arteries, typically originating from the aorta. Diagnosis is often suspected in cases of recurrent pneumonia or severe respiratory distress in neonates and infants, frequently associated with other congenital anomalies. It may also appear incidentally on chest X-rays in approximately 10-20% of asymptomatic patients. CASE REPORT: We present the case of an 8-year-old female who was diagnosed with community-acquired pneumonia. Imaging studies revealed consolidation in the middle and lower right lobes with dystrophic calcifications and an air bronchogram. A computed tomography angiography (Angio-CT) demonstrated arterial supply arising from the right wall of the descending thoracic artery. An aberrant vessel originating from the aorta was observed during a right lateral thoracotomy. CONCLUSIONS: This case of right basal intralobar pulmonary sequestration in a pediatric patient exemplifies shows a rare pathology, accounting for 0.1-6.4% of congenital malformations in the lower respiratory tract, with intralobar location in 75-85% of cases and left-sided occurrence in 60%. This uncommon congenital condition, primarily diagnosed in adulthood, is often suspected when recurrent pneumonias persist in the same location. Surgical resection is the treatment of choice. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: INTRODUCCIÓN: El secuestro pulmonar es una malformación congénita del intestino anterior que afecta el parénquima pulmonar y su vasculatura. Consiste en tejido pulmonar no funcional, separado del árbol traqueobronquial, que recibe su irrigación de arterias sistémicas, generalmente provenientes de la aorta. Su diagnóstico se sospecha en casos de neumonía recurrente o dificultad respiratoria severa en neonatos y lactantes, con frecuencia se asocia a otras anomalías congénitas. También puede encontrarse incidentalmente en radiografías de tórax en pacientes asintomáticos, en aproximadamente el 10-20% de los casos. CASO CLÍNICO: Paciente femenino de 8 años con diagnóstico de neumonía adquirida en la comunidad. Las imágenes mostraron consolidación en los lóbulos medio e inferior derecho, con calcificaciones distróficas y broncograma aéreo. Una angiotomografía computarizada (Angio-TAC) evidenció una irrigación arterial proveniente de la pared derecha de la arteria torácica descendente. Durante una toracotomía lateral derecha, se observó un vaso aberrante originario de la aorta. CONCLUSIONES: Este caso de secuestro pulmonar intralobar basal derecho en una paciente pediátrica es un ejemplo raro de una patología que representa del 0.1 al 6.4% de las malformaciones congénitas del tracto respiratorio inferior, siendo intralobar en el 75-85% de los casos y del lado izquierdo en el 60%. Esta condición congénita poco frecuente, que suele diagnosticarse en la adultez, se sospecha en presencia de neumonías recurrentes persistentes en el mismo sitio. El tratamiento indicado es quirúrgico. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Acta Pediatrica de Mexico is the property of Instituto Nacional de Pediatria (INP) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.18233/apm.v46i6.2985 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 7 StartPage: 614 Subjects: – SubjectFull: CHILD patients Type: general – SubjectFull: PNEUMONIA Type: general – SubjectFull: RESPIRATORY organ abnormalities Type: general – SubjectFull: COMPUTED tomography Type: general – SubjectFull: HUMAN abnormalities Type: general – SubjectFull: RESPIRATORY distress syndrome Type: general – SubjectFull: SURGICAL excision Type: general Titles: – TitleFull: Secuestro pulmonar intralobar basal derecho en un paciente pediátrico. Reporte de caso. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Navarro Montoya, Tania Lorena – PersonEntity: Name: NameFull: Iglesias Morales, Melissa Gabriela – PersonEntity: Name: NameFull: Pinzón Obregón, Carlos Ernesto – PersonEntity: Name: NameFull: Vera-Duarte, Guillermo Raúl – PersonEntity: Name: NameFull: Segura Solis, Emma – PersonEntity: Name: NameFull: Rodríguez Jurado, Rodolfo Rafael – PersonEntity: Name: NameFull: Alva Chaire, Adriana Del Carmen – PersonEntity: Name: NameFull: Cuevas Schacht, Francisco Javier IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 11 Text: nov/dic2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 01862391 Numbering: – Type: volume Value: 46 – Type: issue Value: 6 Titles: – TitleFull: Acta Pediatrica de Mexico Type: main |
| ResultId | 1 |
