One-Stage Laparoscopic Surgery for Pulmonary Sequestration and Hiatal Hernia in a 2-Year-Old Girl
21 August 2017
02 November 2017
08 January 2018 (online)
We herein report a case of one-stage laparoscopic surgery for extralobar pulmonary sequestration (EPS) and hiatal hernia. Our patient was a 2-year-old girl who was diagnosed as a mediastinal mass lesion. Postnatal computed tomography revealed that the mediastinal mass was an EPS. Two weeks after birth, the patient developed gastroesophageal reflux (GER), and esophagography showed a hiatal hernia. At 2 years of age, she underwent one-stage laparoscopic Nissen's fundoplication for GER with resection of the EPS in the posterior mediastinum. The sequestrated lung was grasped via the esophageal hiatus; three aberrant blood vessels were dissected to allow removal of the sequestration through the umbilical port site. The esophageal hiatus was repaired and Nissen's fundoplication was performed laparoscopically. The patient's postoperative course was uneventful, with no recurrence of GER symptoms for 1 year. We conclude that one-stage laparoscopic surgery is useful for patients with EPS and hiatal hernia.
Keywordspulmonary sequestration - hiatal hernia - gastroesophageal reflux - laparoscopic - one-stage
Written informed consent was obtained from the patient's parents for publication of this case report and accompanying images. A copy of this written consent is available for review by the editor-in-chief of this journal on request.
- 1 Chouikh T, Berteloot L, Revillon Y, Delacourt C, Khen-Dunlop N. Extralobar pulmonary sequestration with combined gastric and intradiaphragmatic locations. Pediatr Pulmonol 2014; 49 (05) 512-514
- 2 Bush A. Prenatal presentation and postnatal management of congenital thoracic malformations. Early Hum Dev 2009; 85 (11) 679-684
- 3 Seong YW, Kang CH, Kim JT, Moon HJ, Park IK, Kim YT. Video-assisted thoracoscopic lobectomy in children: safety, efficacy, and risk factors for conversion to thoracotomy. Ann Thorac Surg 2013; 95 (04) 1236-1242
- 4 Conforti A, Aloi I, Trucchi A. , et al. Asymptomatic congenital cystic adenomatoid malformation of the lung: is it time to operate?. J Thorac Cardiovasc Surg 2009; 138 (04) 826-830
- 5 Langston C. New concepts in the pathology of congenital lung malformations. Semin Pediatr Surg 2003; 12 (01) 17-37
- 6 Laberge JM, Puligandla P, Flageole H. Asymptomatic congenital lung malformations. Semin Pediatr Surg 2005; 14 (01) 16-33
- 7 Berna P, Cazes A, Bagan P, Riquet M. Intralobar sequestration in adult patients. Interact Cardiovasc Thorac Surg 2011; 12 (06) 970-972
- 8 Cao C, Bi M, Hendel N, Yan TD. An unusual presentation of recurrent pneumonia. Lancet 2012; 379 (9811): 192
- 9 Shyam S, Sagar A, Sureka J, Jakkani RK. An unusual case of a giant aneurysm of an aberrant systemic artery supplying a pulmonary sequestration. Eur J Cardiothorac Surg 2012; 42 (03) 592