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CASE REPORT
Intradiaphragmatic hybrid lesion: surgical decision-making and value of minimal invasive surgery
  1. Blanca Schuster,
  2. Stefan Gerhard Holland-Cunz,
  3. Peter Zimmermann
  1. Department of Paediatric Surgery, University Children’s Hospital Basel, Basel, Switzerland
  1. Correspondence to Dr Blanca Schuster, Blanca.Schuster{at}ukbb.ch

Summary

Hybrid lesions (HLs) have elements of congenital pulmonary airway malformation and extrapulmonary sequestration (EPS) and belong to the congenital lung lesions. EPS usually arises in the thorax or the abdomen but rarely in the diaphragm. The preoperative diagnostic work-up based on chest radiograph, ultrasound (US) and CT often shows imprecise results. Therefore, the exact localisation of the lesion can only be ascertained intraoperatively. Here we present a patient, with an intradiaphragmatic HL, and demonstrate the difficulties of surgical decision making regarding the localisation of the lesion and discuss the value of minimal invasive surgery.

  • Paediatric Surgery
  • Congenital disorders

https://doi.org/10.1136/bcr-2016-218527

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    Footnotes

    • Contributors BS concepted, designed and wrote the article. PZ critically revised and co-concepted the article. SGH-C gave his final approval.

    • Competing interests None declared.

    • Patient consent Guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.