A girl with chest pain: What could it be?
The present case has been reported in the Annals of Emergency Medicine.

A 13-year-old girl presented to the emergency department with sharp left upper quadrant abdominal pain, irradiating to the back and worsening with deep breathing or reclining. The pain had arisen suddenly 2 days before while she was swimming and was accompanied by low-grade fever (37.5°C [99.5° F]) and mild cough.

Physical examination was remarkable for dullness and decreased breath sounds at the left lung base. Laboratory tests showed neutrophilic leukocytosis and elevated c-reactive protein level. Serologic test results for atypical bacteria and viruses, Mantoux test results, and QuantiFERON assay (QIAGEN, Hilden, Germany) results were negative. Chest radiography showed a subtle left-sided effusion; therefore, bedside chest ultrasonography was performed.

Final Diagnosis: Torsion of an extralobar pulmonary sequestration

Torsion of an extralobar pulmonary sequestration. Considering the isolated and persisting pleural effusion, an explorative thoracoscopy was performed, revealing a hemorrhagic pleural fluid and a dark-brown mass that was resected after ligation of its vascular stalk.

Extralobar pulmonary sequestrations are rare congenital lung malformations, generally localized at the left lung, receiving arterial supply directly from the abdominal or thoracic aorta. Most cases are diagnosed prenatally or accidentally.

Read more here: https://pxmd.co/eJTsz
Dr. P●●●●●h S●●●●●n and 1 others like this