Abstract
Bronchopulmonary foregut malformation (BPFM) is a rare anomaly of accessory pulmonary tissue that usually arises from esophagus or stomach. We present a case of extralobar pulmonary sequestration (ELS) connecting with the esophagus by a cyst, the inner wall of which is lined with squamous epithelium or respiratory epithelium. BPFM is sometimes used to group a number of ventral anomalies of accessory pulmonary tissue. The term currently refers specifically to those lesions composed of sequestrations that retain communication with the gastrointestinal tract. Usually the communication is a well-formed muscular tube lined with stratified squamous or columnar epithelium. The presence of both epithelia in a communication that is a component of the BPFM suggests embryogenesis. We describe an adult with BPFM composed of ELS and a connecting stalk to the esophagus by a foregut cyst that contains both squamous epithelium and respiratory epithelium.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Heithoff KB, Sane SM, Williams HJ, Jarvis CJ, Carter J, Kane P, et al. Bronchopulmonary foregut malformations: a unifying etiological concept. AJR Am J Roentgenol 1976;126:46–55.
Gerle RD, Jaretzki A III, Ashley CA, Berne AS. Congenital bronchopulmonary-foregut malformation: pulmonary sequestration communicating with the gastrointestinal tract. N Engl J Med 1968;278:1413–1419.
Epinnger H, Schauenstein W. Kronkheiten der Lungen. Ergebn Allg Pathol 1902;8:267–285
Srikanth MS, Ford EG, Stanley P, Hossein Mahour G. Communicating bronchopulmonary foregut malformations: classification and embryogenesis. J Pediatr Surg 1992;27:732–736
Sade RM, Clouse M, Ellis FH Jr. The spectrum of pulmonary sequestration. Ann Thorac Surg 1974;18:644–658
Hruban RH, Shumway SJ, Orel SB, Dumler JS, Baker RR, Hutchis GM. Congenital bronchopulmonary foregut malformations: interlobar and extralobar pulmonary sequestrations communicating with the foregut. Am J Clin Pathol 1989;91:403–409.
Thomson NB, Aquino T. Anomalous origin of the right mainstem bronchus. Surgery 1962;51:668–679.
Lewis EJ, Murray RE. Pulmonary sequestration with bronchoesophageal fistula. J Pediatr Surg 1968;3:575–579.
Graves VB, Dahi DD, Power HW. Congenital bronchopulmonary foregut malformation with anomalous pulmonary artery. Radiology 1975;114:423–424.
Crawford DB, Cole S, Danielson KS, Maenza RM, Westcott JL. Malformation of bronchopulmonary foregut with systemic and pulmonary arterial blood supply. Chest 1978;73:421–423.
Fowler CL, Pokomy WJ, Wagner ML, Kessler MS. Review of bronchopulmonary foregut malformation. J Pediatr Surg 1988;23:793–797.
O’Mara CS, Baker PR, Jeyasingham K. Pulmonary sequestration. Surg Gynecol Obstet 1978;147:609–616.
Avishai V, Dolev E, Weissberg D, Zajdel L, Priel IE. Extralobar sequestration presenting as massive hemothorax. Chest 1996;109:843–845.
Zumbro GL, Treasure RL, Seitter G, Strevey TE, Brott W, Green DC. Pulmonary sequestration; a broad spectrum of bronchopulmonary foregut malformations. Ann Thorac Surg 1975;20:161–169.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Katayama, Y., Kusagawa, H., Komada, T. et al. Bronchopulmonary foregut malformation. Gen Thorac Cardiovasc Surg 59, 767–770 (2011). https://doi.org/10.1007/s11748-010-0763-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11748-010-0763-z