A case report of congenital cystic adenomatous malformation of the lung type II in a two-month-old infant associated with complications

Abstract

BACKGROUND: Cystic adenomatous malformation of the lung (CAML), or congenital airway malformation, is a relatively rare birth defect. This condition is difficult to diagnose both in the antenatal and postnatal periods. The relevance of the problem of diagnosing CAML is demonstrated by the clinical case identified in the postnatal period.

CLINICAL CASE DESCRIPTION: This article discusses a case report of CAML in a child. From the age of two months, the disease manifested as monthly episodes of respiratory infections complicated by bronchitis, bronchial obstruction syndrome, and a single case of community-acquired bilateral polysegmental pneumonia, which led to the initiation of multicomponent conservative pharmacotherapy prior to surgery.

CONCLUSION: This case report illustrates the importance of early diagnosis of CAML. Considering that in most cases this is the patient’s first visit to a pediatrician, there is no doubt that primary care pediatricians need to be aware of this condition in order to refer the patient to a specialist as soon as possible for proper diagnosis and treatment.

Keywords

case report / cystic adenomatous malformation of the lung / bronchitis / bronchial obstruction syndrome

References

[1] Mashkov AE, ShcherbinaVI, StashukGA, et al. Diagnostics and treatment of cystic adenomatous lung malformation in children. Russian Journal of Pediatric Surgery. 2017;21(1):23–27. EDN: XWFFXV doi: 10.18821/1560-9510-2017-21-1-23-27

[2] Машков А.Е., Щербина В.И., Сташук Г.А., и др. Диагностика и лечение кистозно-аденоматозной мальформации легких у детей // Детская хирургия. 2017. Т. 21, № 1. С. 23–27. EDN: XWFFXV doi: 10.18821/1560-9510-2017-21-1-23-27

[3] Shestak EV. Cystic adenomatous lung malformation of type II in the newborn, problems of early diagnosis. Ural Medical Journal. 2022;21(1):77–84. EDN: UDHGIO doi: 10.52420/2071-5943-2022-21-1-77-84

[4] Шестак Е.В. Кистозно-аденоматозная мальформация легкого II типа у новорожденного, проблемы ранней диагностики // Уральский медицинский журнал. 2022. Т. 21, № 1. С. 77–84. EDN: UDHGIO doi: 10.52420/2071-5943-2022-21-1-77-84

[5] Fortes IMLP, Junior JRB. Use of corticosteroids in prenatal treatment of congenital pulmonary adenomatoid malformation: integrative review. Rev Bras Ginecol Obstet. 2022;44(3):304–310. doi: 10.1055/s-0041-1741517

[6] Fortes I.M.L.P., Junior J.R.B. Use of corticosteroids in prenatal treatment of congenital pulmonary adenomatoid malformation: integrative review //Rev Bras Ginecol Obstet. 2022. Vol. 44, N 3. P. 304–310. doi: 10.1055/s-0041-1741517

[7] Garzi A, Ferrentino U, Ardimento G, et al. Congenital cystic adenomatoid malformation of the lung type II: three cases report. Transl Med UniSa. 2019;20:4–8.

[8] Garzi A., Ferrentino U., Ardimento G., et al. Congenital cystic adenomatoid malformation of the lung type II: three cases report // Transl Med UniSa. 2019. Vol. 20. P. 4–8.

[9] Ovsyannikov DYu, Frolov PA, Semenov PA. Congenital malformation of pulmonary respiratory tract. Pediatriya. Zhurnalim G.N. Speranskogo. 2018;97(1):152–161. EDN: YMYQBC doi: 10.24110/0031-403X-2018-97-1-152-161

[10] Овсянников Д.Ю., Фролов П.А., Семенов П.А. Врожденная мальформация дыхательных путей // Педиатрия. Журнал им. Г.Н. Сперанского. 2018. Т. 97, № 1. С. 152–161. EDN: YMYQBC doi: 10.24110/0031-403X-2018-97-1-152-161

[11] Strumiłło B, Jóźwiak A, Pałka A, et al. Congenital cystic adenomatoid malformation — diagnostic and therapeutic procedure: 8-year experience of one medical centre. Kardiochir. Torakochirurgia Pol. 2018;15(1):10–17. doi: 10.5114/kitp.2018.74669

[12] Strumiłło B., Jóźwiak A., Pałka A., et al. Congenital cystic adenomatoid malformation — diagnostic and therapeutic procedure: 8-year experience of one medical centre // Kardiochir. Torakochirurgia Pol. 2018. Vol. 15, N 1. P. 10–17. doi: 10.5114/kitp.2018.74669

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