Intradiaphragmatic hybrid lesion in an infant: case report

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Abstract

Hybrid lesions have elements of both congenital cystic adenomatoid malformation and bronchopulmonary sequestration. We report an unusual case of an infant treated for an intradiaphragmatic hybrid lesion. Although computed tomography remains the criterion standard imaging examination for planning the operation, the exact localization of such lesions may be discovered only at surgical exploration.

Section snippets

Case report

A 25-year-old prima gravida was referred to our hospital after an ultrasound (US) examination at 24 weeks' gestation, which showed a cystic lesion of the left lower lung. A 3.660-g female infant was delivered vaginally at term, with normal physical findings. At birth, the patient was initially investigated by a plain chest radiograph, which showed neither cystic lesions nor displacement of the mediastinum. During the first months of life, the patient remained asymptomatic; follow-up chest

Discussion

With widespread use and the development of routine obstetric sonographic screenings, prenatal recognition of congenital lung abnormalities is more and more frequent.

Congenital lung lesions represent a wide array of developmental abnormalities including CCAM, BPS, bronchogenic cysts, and congenital lobar emphysema. Congenital cystic adenomatoid malformation is the most common lesion, with an incidence of 1:25,000 to 1:35,000 live births [4], whereas BPS has an estimated incidence of 0.15% to

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