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Aim <p>We share our operative findings and technique to manage a rare case of intra-diaphragmatic extra-lobar pulmonary sequestration.</p> Method <p>A preoperative diagnosis indicated an abdominal lesion with a suspected neuroblastoma. During surgery, challenges were encountered in localising the lesion. Intra-operative ultrasound was utilised to assist in the precise localisation and excision of the lesion, which was found within the crus of the diaphragm, adjacent to the aorta.</p> Results <p>The lesion was excised without complications. Pathological analysis confirmed the diagnosis of&#xa0;an extra-lobar pulmonary sequestration. The procedure was completed using a minimally invasive approach, the patient was discharged on day 1 post-surgery. No concerns were noted at follow-up six months post-surgery.</p> Conclusion <p>Although the case presented a rare challenge, intraoperative ultrasound effectively aided in&#xa0;localising&#xa0;and excising the lesion.</p>

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Ultrasound guided laparoscopic resection of intra-diaphragmatic extra-lobar pulmonary sequestration

  • 期刊论文

  • 发表日期：

    2025年3月13日

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  • Shimaa Ibrahim,
  • Sara K. Harrison,
  • Andrew R. Bamber,
  • Prabhu Sekaran,
  • Semiu Eniola Folaranmi

摘要

Aim

We share our operative findings and technique to manage a rare case of intra-diaphragmatic extra-lobar pulmonary sequestration.

Method

A preoperative diagnosis indicated an abdominal lesion with a suspected neuroblastoma. During surgery, challenges were encountered in localising the lesion. Intra-operative ultrasound was utilised to assist in the precise localisation and excision of the lesion, which was found within the crus of the diaphragm, adjacent to the aorta.

Results

The lesion was excised without complications. Pathological analysis confirmed the diagnosis of an extra-lobar pulmonary sequestration. The procedure was completed using a minimally invasive approach, the patient was discharged on day 1 post-surgery. No concerns were noted at follow-up six months post-surgery.

Conclusion

Although the case presented a rare challenge, intraoperative ultrasound effectively aided in localising and excising the lesion.