Hybrid lung anomalies—those combining Congenital Pulmonary Airway Malformation (CPAM) with Pulmonary Sequestration (PS)—are among the rarest congenital conditions seen in pediatric pulmonology. Even more unusual is the occurrence of bilateral pulmonary sequestration, reported only a limited number of times globally.
In her upcoming in-person presentation, Dr. Hanaa Banjar from King Faisal Specialist Hospital & Research Center, Saudi Arabia, highlights one of the most unique cases documented in the Middle East: a 3-year-old boy presenting with CPAM alongside bilateral PS, offering crucial insights for pediatric clinicians worldwide.
Key Points from the Presentation
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Exceptionally Rare Combination
Bilateral pulmonary sequestration is extremely uncommon, with only 36 cases documented worldwide. Hybrid lesions combining CPAM and PS are even rarer. -
First Middle Eastern Case
This case represents the first reported hybrid CPAM + bilateral PS from the Middle East, contributing vital data to global pediatric pulmonary literature. -
Challenging Clinical Presentation
The child presented with persistent fever despite antibiotics and had an initially unremarkable physical exam, complicating diagnosis. -
Critical Imaging Findings
Chest imaging revealed:
• Necrotizing pneumonia on X-ray
• Multiple cystic lesions on CT
• Systemic arterial supply from the descending aorta feeding both sides
• Left-sided CPAM + extra-lobar PS
• Right-sided intra-thoracic PS/AVM-type anomaly -
Surgical Management
The patient underwent left lower lobe lobectomy, addressing the hybrid malformation. -
Comparison to Literature
Only one other case combining PS, CPAM, and bilateral vascular anomalies has been previously published, underscoring the significance of this report. -
Clinical Implications
Understanding these complex anomalies is essential for:
• Accurate early detection
• Effective surgical planning
• Multidisciplinary management
• Improving long-term outcomes in pediatric patients
About Dr. Hanaa Banjar
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Professor of Pediatrics, Alfaisal University
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Consultant Pediatric Pulmonologist & Program Director, King Faisal Specialist Hospital & Research Center
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Residency: University of Ottawa, Canada
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Fellowship: McGill University, Canada
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Leading expert in Cystic Fibrosis, Pulmonary Hypertension, and Non-CF Bronchiectasis
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Principal investigator of a Cystic Fibrosis registry covering 400 patients
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Author of 90+ scientific publications
Dr. Banjar’s expertise continues to shape pediatric pulmonary practice and research across the Middle East.
Conference Details
Event: International Conference on Pediatrics, Neonatology & Child Health
Dates: March 26–28, 2026
Format: Hybrid – Singapore & Online
Email: pediatrics@mathewsconference.com
Phone: +1 (312) 462-4448
WhatsApp: +1 (424) 377-0967
Event Website: https://pediatrics.miconferences.com/
Submit Abstract: https://pediatrics.miconferences.com/abstract-submission
Register: https://pediatrics.miconferences.com/register
Follow on X: https://x.com/Pediatrics_IPN
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