Secuestro pulmonar en embarazo gemelar monocorial-biamniótico
DOI:
https://doi.org/10.18041/1900-7841/rcslibre.2016v11n1.1387Palabras clave:
Secuestro broncopulmonar, Embarazo gemelar, Embarazo moocorial-biamnitico, Anatomia pulmonar fetalResumen
El secuestro broncopulmonar (SBP) es una patología asociada a masa congénita de parénquima pulmonar no funcional, separado del árbol tráqueobronquial y alimentado por una arteria sistémica separada, suministro arterial originado típicamente a partir de la aorta descendente y ocasionalmente desde la intercostal, celiaca o arterias esplénicas, con drenaje verboso a través de las venas ácigos o la vena cava inferior y venas pulmonares. En este reporte de caso se describe la presentación de dicha patología en embarazo gemelar monocorial-biamniotico, con hallazgo incidental de Imagen hipoecoica supradiafragmática derecha, única de diferente densidad del pulmón del feto número 2, presentación de la enfermedad, epidemiologia, anatomía y seguimiento imagenlógico, describiendo posibles complicaciones y gold standar del diagnóstico, para determinar el compromiso vascular, la arquitectura de la vasculatura y el enfoque terapéutico. El objetivo de este reporte es realizar una revisión de literatura de las principales características del secuestro pulmonar y correlacionar con los hallazgos encontrados en el presente.Descargas
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Referencias
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8. Ruano R, Benachi A, Aubry MC, Revillon Y, Dumez ES, et al., Prenatal diagnosis of pulmonary seques- tration using three-dimensional power Doppler ultrasound. Ultrasound Obstet Gynecol. 2005; 25 (2): 12833. URL disponible en: https://www.ncbi.nlm. nih.gov/pubmed/15685645 DOI: 10.1002/uog.1797
9. Oepkes D, Devlieger R, Lopriore E, Klumper FJ.. Successful ultrasound-guided laser treatment of fetal hydrops caused by pulmonary sequestration. Ultrasound Obstet Gynecol. 2007; 29 (4): 457-9. URL disponible en: https://www.ncbi.nlm.nih.gov/ pubmed/17352451 DOI: 10.1002/uog.3984
10. Nijagal A, Jelin E, Feldstein VA, Courtier J, Urisman A, Jones KD, et al. The diagnosis and management of intradiaphragmatic extralobar pulmonary seques- trations: a report of 4 cases. J Pediatr Surg.(2012; 47 (8): 1501-5.
11. William D. Winters, M.D., and Eric L. Effmann, M.D, Congenital masses of the lung: prenatal and postna- tal imaging evaluation. JThorac Imaging. 2001; 16 (4): 196-206. URL disponible en: https://www.ncbi.nlm. nih.gov/pubmed/11685086
12. Laurin S, Hagerstrand I. Intralobar bronchopulmo- nary sequestration in the newborn – a congenital malformation. Pediatr Radiol. 1999; 29 (3): 174-8.
13. Black MD, Bass J, Carpenter BF. Intraabdominal pulmonary sequestration. J Pediatr Surg 1991; 26 (12): 1381-3. URL disponible en: http://www.science- direct.com/science/article/pii/002234689191038Z DOI:10.1016/0022-3468(91)91038-Z
14. Davies RP, Ford WDA, Lequesne GW, Orelll SR. Ultrasonic detection of subdiaphragmatic pulmo- nary sequestration in utero and postnatal diagnosis by fine-needle aspiration biopsy. J Ultrasound Med. 1989; 8: 47-9. URL disponible en: http://www.jultra- soundmed.org/content/suppl/2015/06/10/8.1.47. DC1/08.01.47.pdf
2.Rammos KS, Foroulis CN,Rammos CK, Andreou A.. Prenatal interventional and postnatal surgical thera- py of extralobar pulmonary sequestration. Interactive CardioVascular and Thoracic Surgery. 2010; 10: () 634-5. URL disponible en: http://icvts.oxfordjournals.org/ content/10/4/634.full.pdf
3. Coleman AM,, Merrow AC, Crombleholme TM, Jaekle R, Lim FY. Fetal MRI of torsed bronchopul- monary sequestration with tension hydrothorax and hydrops in a twin gestation. Fetal Diagn Ther. 2016; 40 (2): 156-60. URL disponible en: https:// www.ncbi.nlm.nih.gov/pubmed/25659425 DOI: 10.1159/000371513.
4. Lopoo JB, Goldstein RB, Lipshutz GS, Goldberg JD, Harrison MR, Albanese CT Fetal pulmonary sequestration: a favorable congenital lung lesion. Obstet Gynecol. 1999; 94 (4): 567-71. URL dispo- nible en: https://www.ncbi.nlm.nih.gov/pub- med/10511360
5. Kreiger PA, Ruchelli ED, Mahboubi S, Hedrick H, Scott Adzick N, Russo PA. . Fetal pul- monary malformations: defining histopathology. Am J Surg Pathol. 2006; 30 (5): 643-9. URL disponible en: https://www.ncbi.nlm.nih.gov/pubmed/16699320 DOI: 10.1097/01.pas.0000202160.03611.5b
6.Baud D, Windrim R, Kachura JR, Jefferies A, Pantazi S, Shan P, et al., Minimally invasive fetal therapy for hydropic lung masses: three different approaches and review of the literature. Ultrasound Obstet Gyne- col. 2013; 42 (4): 440-8. URL disponible en: https:// www.ncbi.nlm.nih.gov/pubmed/23712922 DOI: 10.1002/uog.12515
7. Bermúdez C, Pérez-Wulff J, Bufalino G, Sosa C, Gómez L, Quintero RA.. Percutaneous ultrasound-guided sclerotherapy for complicated fetal intralobar bron- chopulmonary sequestration. Ultrasound Obstet Gy- necol. 2007; 29 (5): 586-9. URL disponible en: https:// www.ncbi.nlm.nih.gov/pubmed/17444552 DOI: 10.1002/uog.3944
8. Ruano R, Benachi A, Aubry MC, Revillon Y, Dumez ES, et al., Prenatal diagnosis of pulmonary seques- tration using three-dimensional power Doppler ultrasound. Ultrasound Obstet Gynecol. 2005; 25 (2): 12833. URL disponible en: https://www.ncbi.nlm. nih.gov/pubmed/15685645 DOI: 10.1002/uog.1797
9. Oepkes D, Devlieger R, Lopriore E, Klumper FJ.. Successful ultrasound-guided laser treatment of fetal hydrops caused by pulmonary sequestration. Ultrasound Obstet Gynecol. 2007; 29 (4): 457-9. URL disponible en: https://www.ncbi.nlm.nih.gov/ pubmed/17352451 DOI: 10.1002/uog.3984
10. Nijagal A, Jelin E, Feldstein VA, Courtier J, Urisman A, Jones KD, et al. The diagnosis and management of intradiaphragmatic extralobar pulmonary seques- trations: a report of 4 cases. J Pediatr Surg.(2012; 47 (8): 1501-5.
11. William D. Winters, M.D., and Eric L. Effmann, M.D, Congenital masses of the lung: prenatal and postna- tal imaging evaluation. JThorac Imaging. 2001; 16 (4): 196-206. URL disponible en: https://www.ncbi.nlm. nih.gov/pubmed/11685086
12. Laurin S, Hagerstrand I. Intralobar bronchopulmo- nary sequestration in the newborn – a congenital malformation. Pediatr Radiol. 1999; 29 (3): 174-8.
13. Black MD, Bass J, Carpenter BF. Intraabdominal pulmonary sequestration. J Pediatr Surg 1991; 26 (12): 1381-3. URL disponible en: http://www.science- direct.com/science/article/pii/002234689191038Z DOI:10.1016/0022-3468(91)91038-Z
14. Davies RP, Ford WDA, Lequesne GW, Orelll SR. Ultrasonic detection of subdiaphragmatic pulmo- nary sequestration in utero and postnatal diagnosis by fine-needle aspiration biopsy. J Ultrasound Med. 1989; 8: 47-9. URL disponible en: http://www.jultra- soundmed.org/content/suppl/2015/06/10/8.1.47. DC1/08.01.47.pdf
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Publicado
2016-06-01
Número
Sección
Reporte de caso
Cómo citar
Velásquez Trujillo, P. A., Mayor Barrera, A. M. B., Ramírez Muñoz, P., & Santacruz Vargas, D. (2016). Secuestro pulmonar en embarazo gemelar monocorial-biamniótico. Revista Colombiana Salud Libre, 11(1), 78-81. https://doi.org/10.18041/1900-7841/rcslibre.2016v11n1.1387
