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Bronchopulmonary Sequestration
Paula J. Woodward, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Abbreviations

            • Bronchopulmonary sequestration (BPS)
          • Synonyms

            • Rokitansky lobe
          • Definitions

            • Bronchopulmonary tissue that does not connect to tracheobronchial tree or pulmonary arteries
            • Extralobar sequestration is subtype of BPS found in fetus
              • Fetal intralobar sequestration extremely rare

          IMAGING

          • General Features

            • Ultrasonographic Findings

              • MR Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Gross Pathologic & Surgical Features

                        • Microscopic Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Coleman AM et al: Fetal MRI of Torsed Bronchopulmonary Sequestration with Tension Hydrothorax and Hydrops in a Twin Gestation. Fetal Diagn Ther. ePub, 2015
                                      2. Macardle CA et al: Management of perinatal lung malformations. Minerva Ginecol. 67(1):81-94, 2015
                                      3. Maki E et al: Imaging and differential diagnosis of suprarenal masses in the fetus. J Ultrasound Med. 33(5):895-904, 2014
                                      4. Mallmann MR et al: Bronchopulmonary sequestration with massive pleural effusion: pleuroamniotic shunting vs intrafetal vascular laser ablation. Ultrasound Obstet Gynecol. 44(4):441-6, 2014
                                      5. Nunes C et al: Fetal bronchopulmonary malformations. J Matern Fetal Neonatal Med. 1-5, 2014
                                      6. Zhang H et al: Retrospective study of prenatal diagnosed pulmonary sequestration. Pediatr Surg Int. 30(1):47-53, 2014
                                      7. Baud D et al: Minimally invasive fetal therapy for hydropic lung masses: three different approaches and review of the literature. Ultrasound Obstet Gynecol. 42(4):440-8, 2013
                                      8. Lee MY et al: Protective effect of fetal pulmonary sequestration in two cases of postnatal manifestation of congenital diaphragmatic hernia. Ultrasound Obstet Gynecol. 39(6):719-22, 2012
                                      9. Nijagal A et al: The diagnosis and management of intradiaphragmatic extralobar pulmonary sequestrations: a report of 4 cases. J Pediatr Surg. 47(8):1501-5, 2012
                                      10. Recio Rodríguez M et al: MR imaging of thoracic abnormalities in the fetus. Radiographics. 32(7):E305-21, 2012
                                      11. Bhide A et al: Prenatal findings and differential diagnosis of scimitar syndrome and pulmonary sequestration. Ultrasound Obstet Gynecol. 35(4):398-404, 2010
                                      12. Adzick NS: Management of fetal lung lesions. Clin Perinatol. 36(2):363-76, x, 2009
                                      13. Xie HN et al: Prenatal surveillance of bronchopulmonary sequestration using 3-dimensional ultrasonography. J Ultrasound Med. 28(8):989-94, 2009
                                      14. Cavoretto P et al: Prenatal diagnosis and outcome of echogenic fetal lung lesions. Ultrasound Obstet Gynecol. 32(6):769-83, 2008
                                      15. Hung JH et al: Prenatal diagnosis of pulmonary sequestration by ultrasound and magnetic resonance imaging. J Chin Med Assoc. 71(1):53-7, 2008
                                      16. Lee BS et al: Neonatal pulmonary sequestration: clinical experience with transumbilical arterial embolization. Pediatr Pulmonol. 43(4):404-13, 2008
                                      17. Yildirim G et al: Prenatal diagnosis of an extralobar pulmonary sequestration. Arch Gynecol Obstet. 278(2):181-6, 2008
                                      18. Eber E: Antenatal diagnosis of congenital thoracic malformations: early surgery, late surgery, or no surgery? Semin Respir Crit Care Med. 28(3):355-66, 2007
                                      19. Goldstein RB: A practical approach to fetal chest masses. Ultrasound Q. 22(3):177-94, 2006
                                      20. Dhingsa R et al: Prenatal sonography and MR imaging of pulmonary sequestration. AJR Am J Roentgenol. 180(2):433-7, 2003
                                      21. Morville P et al: Physiopathology hypotheses and treatment of pulmonary sequestration. Am J Perinatol. 20(2):87-9, 2003
                                      22. Conran RM et al: Extralobar sequestration with frequently associated congenital cystic adenomatoid malformation, type 2: report of 50 cases. Pediatr Dev Pathol. 2(5):454-63, 1999
                                      23. Lopoo JB et al: Fetal pulmonary sequestration: a favorable congenital lung lesion. Obstet Gynecol. 94(4):567-71, 1999
                                      24. Becmeur F et al: Pulmonary sequestrations: prenatal ultrasound diagnosis, treatment, and outcome. J Pediatr Surg. 33(3):492-6, 1998
                                      25. Cass DL et al: Cystic lung lesions with systemic arterial blood supply: a hybrid of congenital cystic adenomatoid malformation and bronchopulmonary sequestration. J Pediatr Surg. 32(7):986-90, 1997
                                      26. Curtis MR et al: Prenatal ultrasound characterization of the suprarenal mass: distinction between neuroblastoma and subdiaphragmatic extralobar pulmonary sequestration. J Ultrasound Med. 16(2):75-83, 1997
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Abbreviations

                                                • Bronchopulmonary sequestration (BPS)
                                              • Synonyms

                                                • Rokitansky lobe
                                              • Definitions

                                                • Bronchopulmonary tissue that does not connect to tracheobronchial tree or pulmonary arteries
                                                • Extralobar sequestration is subtype of BPS found in fetus
                                                  • Fetal intralobar sequestration extremely rare

                                              IMAGING

                                              • General Features

                                                • Ultrasonographic Findings

                                                  • MR Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          • Gross Pathologic & Surgical Features

                                                            • Microscopic Features

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  • Natural History & Prognosis

                                                                    • Treatment

                                                                      DIAGNOSTIC CHECKLIST

                                                                      • Consider

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Coleman AM et al: Fetal MRI of Torsed Bronchopulmonary Sequestration with Tension Hydrothorax and Hydrops in a Twin Gestation. Fetal Diagn Ther. ePub, 2015
                                                                          2. Macardle CA et al: Management of perinatal lung malformations. Minerva Ginecol. 67(1):81-94, 2015
                                                                          3. Maki E et al: Imaging and differential diagnosis of suprarenal masses in the fetus. J Ultrasound Med. 33(5):895-904, 2014
                                                                          4. Mallmann MR et al: Bronchopulmonary sequestration with massive pleural effusion: pleuroamniotic shunting vs intrafetal vascular laser ablation. Ultrasound Obstet Gynecol. 44(4):441-6, 2014
                                                                          5. Nunes C et al: Fetal bronchopulmonary malformations. J Matern Fetal Neonatal Med. 1-5, 2014
                                                                          6. Zhang H et al: Retrospective study of prenatal diagnosed pulmonary sequestration. Pediatr Surg Int. 30(1):47-53, 2014
                                                                          7. Baud D et al: Minimally invasive fetal therapy for hydropic lung masses: three different approaches and review of the literature. Ultrasound Obstet Gynecol. 42(4):440-8, 2013
                                                                          8. Lee MY et al: Protective effect of fetal pulmonary sequestration in two cases of postnatal manifestation of congenital diaphragmatic hernia. Ultrasound Obstet Gynecol. 39(6):719-22, 2012
                                                                          9. Nijagal A et al: The diagnosis and management of intradiaphragmatic extralobar pulmonary sequestrations: a report of 4 cases. J Pediatr Surg. 47(8):1501-5, 2012
                                                                          10. Recio Rodríguez M et al: MR imaging of thoracic abnormalities in the fetus. Radiographics. 32(7):E305-21, 2012
                                                                          11. Bhide A et al: Prenatal findings and differential diagnosis of scimitar syndrome and pulmonary sequestration. Ultrasound Obstet Gynecol. 35(4):398-404, 2010
                                                                          12. Adzick NS: Management of fetal lung lesions. Clin Perinatol. 36(2):363-76, x, 2009
                                                                          13. Xie HN et al: Prenatal surveillance of bronchopulmonary sequestration using 3-dimensional ultrasonography. J Ultrasound Med. 28(8):989-94, 2009
                                                                          14. Cavoretto P et al: Prenatal diagnosis and outcome of echogenic fetal lung lesions. Ultrasound Obstet Gynecol. 32(6):769-83, 2008
                                                                          15. Hung JH et al: Prenatal diagnosis of pulmonary sequestration by ultrasound and magnetic resonance imaging. J Chin Med Assoc. 71(1):53-7, 2008
                                                                          16. Lee BS et al: Neonatal pulmonary sequestration: clinical experience with transumbilical arterial embolization. Pediatr Pulmonol. 43(4):404-13, 2008
                                                                          17. Yildirim G et al: Prenatal diagnosis of an extralobar pulmonary sequestration. Arch Gynecol Obstet. 278(2):181-6, 2008
                                                                          18. Eber E: Antenatal diagnosis of congenital thoracic malformations: early surgery, late surgery, or no surgery? Semin Respir Crit Care Med. 28(3):355-66, 2007
                                                                          19. Goldstein RB: A practical approach to fetal chest masses. Ultrasound Q. 22(3):177-94, 2006
                                                                          20. Dhingsa R et al: Prenatal sonography and MR imaging of pulmonary sequestration. AJR Am J Roentgenol. 180(2):433-7, 2003
                                                                          21. Morville P et al: Physiopathology hypotheses and treatment of pulmonary sequestration. Am J Perinatol. 20(2):87-9, 2003
                                                                          22. Conran RM et al: Extralobar sequestration with frequently associated congenital cystic adenomatoid malformation, type 2: report of 50 cases. Pediatr Dev Pathol. 2(5):454-63, 1999
                                                                          23. Lopoo JB et al: Fetal pulmonary sequestration: a favorable congenital lung lesion. Obstet Gynecol. 94(4):567-71, 1999
                                                                          24. Becmeur F et al: Pulmonary sequestrations: prenatal ultrasound diagnosis, treatment, and outcome. J Pediatr Surg. 33(3):492-6, 1998
                                                                          25. Cass DL et al: Cystic lung lesions with systemic arterial blood supply: a hybrid of congenital cystic adenomatoid malformation and bronchopulmonary sequestration. J Pediatr Surg. 32(7):986-90, 1997
                                                                          26. Curtis MR et al: Prenatal ultrasound characterization of the suprarenal mass: distinction between neuroblastoma and subdiaphragmatic extralobar pulmonary sequestration. J Ultrasound Med. 16(2):75-83, 1997