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Case Reports in Surgery
Volume 2013 (2013), Article ID 740292, 3 pages
http://dx.doi.org/10.1155/2013/740292
Case Report

An Unusual Left Upper Quadrant Mass: A Bronchopulmonary Foregut Malformation

1Department of Colorectal Surgery, St. Vincent’s University Hospital, Elm Park, Dublin 4, Ireland
2Department of Cardiothoracic Surgery, St. Vincent’s University Hospital, Elm Park, Dublin 4, Ireland
3Department of Histopathology, St. Vincent’s University Hospital, Elm Park, Dublin 4, Ireland
4Department of Surgery and Surgical Specialties, St. Vincent’s University Hospital, Elm Park, Dublin 4, Ireland

Received 23 November 2012; Accepted 29 January 2013

Academic Editors: D. E. Jaroszewski, C. Schmitz, J. M. Strzelczyk, and S. Tatebe

Copyright © 2013 R. L. McDermott et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report a case of a lady who presented with epigastric discomfort. Physical examination revealed a large left upper quadrant mass filling the left upper quadrant. Following extensive preoperative evaluation, she underwent resection of this centimeter mass with en bloc excision of a portion of the left hemidiaphragm. She made an uneventful postoperative recovery. Histopathology revealed a bronchopulmonary foregut malformation with pulmonary sequestration. This developmental anomaly of the foregut typically occurs in the thoracic cavity; however, it can occur below the diaphragm. Herein we report a case and a detailed review of the embryology, clinical features, and management of these extremely rare clinical entities.