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Case Reports
. 2023 Sep;39(5):539-542.
doi: 10.1007/s12055-023-01521-8. Epub 2023 Jun 19.

Intralobar sequestration associated with gastric enterogenous cyst: gastric lung!!

Khyati Kiran Janapareddy  1 , Nitin James Peters  1 , Ram Samujh  1 , Debajyothi Chatterjee  2
Affiliations
Case Reports

Intralobar sequestration associated with gastric enterogenous cyst: gastric lung!!

Khyati Kiran Janapareddy et al. Indian J Thorac Cardiovasc Surg. 2023 Sep.

Abstract

Intralobar sequestration (ILS) is a rare anomaly that may manifest as recurrent pneumonia or rarely as haemoptysis. The co-existence of ILS with enterogenous cyst is extremely rare with only a single case reported. We describe a 6-month-old male infant, with haemoptysis. Evaluation revealed a consolidated segment of the left lung with a pseudoaneurysm of the pulmonary artery and spina bifida. Thoracoscopic excision of the lesion revealed ILS. Recurrent haemoptysis led to re-evaluation and thoracotomy for excision of the cyst which contained gastric mucosal content. We report a rare case of concomitant ILS with an enterogenous cyst and review the relevant literature.

Keywords: Enterogenous cyst; Gastric lung; Intralobar sequestration.

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Conflict of interest statement

Conflict of interestNone.

Figures

Fig. 1
Fig. 1
a Chest X-ray of intralobar sequestration (ILS)—hazy middle zone of the left lung abutting the cardiac shadow b CT chest axial view, c- coronal view, d reconstructed CT images demon strating ILS
Fig. 2
Fig. 2
a Thoracoscopic view of ILS—bluish sequestered segment (black arrow) in the upper part of the lower lobe of the left lung. Normal lung (yellow arrow) can be seen along the right side of the image. b Contrast-enhanced computed tomography (CECT) chest—cyst in the lower lobe of the left lung with feeding vessel from the aorta. c, d Intraoperative image of cystic lesion (black arrow) of the left hemithorax receiving feeding vessel (delineated by yellow lines) from the descending thoracic aorta
Fig. 3
Fig. 3
Represented section from the mass demonstrating gastric mucosa (black arrow) and muscle layer (white arrow) (× 20, haematoxylin and eosin)
See this image and copyright information in PMC

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