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Congenital cystic adenomatoid malformation with bronchial atresia in elderly patients.

Kwak HJ, Moon JY, Kim SI, Kim TH, Sohn JW, Kim SH, Shin DH, Park SS, Chung WS, Yoon HJ - Tuberc Respir Dis (Seoul) (2012)

Bottom Line: CCAM type I is rarely found in association with bronchial atresia (BA) in adults; we present such a case.A 54-year-old female presented with chronic cough and blood-tinged sputum.Based on the radiologic findings, right middle lobectomy and a medial basal segmentectomy of the right lower lobe were performed via a thoracotomy.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.

ABSTRACT

Unlabelled: Congenital cystic adenomatoid malformation (CCAM) is an uncommon, nonhereditary anomaly caused by arrest of lung. Patients with CCAM may present with respiratory distress as newborns, or may remain asymptomatic until later in life. CCAM type I is rarely found in association with bronchial atresia (BA) in adults; we present such a case.

Case: A 54-year-old female presented with chronic cough and blood-tinged sputum. Physical examination and laboratory tests were unremarkable. Chest radiographs and a CT scan of the chest showed multiple large air-filled cysts consistent with a CCAM in the right lower lobe, and an oval-shaped opacity in the distal right middle lobal bronchus. Based on the radiologic findings, right middle lobectomy and a medial basal segmentectomy of the right lower lobe were performed via a thoracotomy. These lesions were consistent with Stocker's Type I CCAM and BA in the different lobes.

No MeSH data available.


Related in: MedlinePlus

Bronchoscopic examination. The right middle lobe (RML) bronchus is not seen on bronchoscopic examination and there is a suspicious dimpling lesion (arrow) in the proximity of the RML bronchus.
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Figure 3: Bronchoscopic examination. The right middle lobe (RML) bronchus is not seen on bronchoscopic examination and there is a suspicious dimpling lesion (arrow) in the proximity of the RML bronchus.

Mentions: On a flexible bronchoscopic examination, the opening of the right middle lobe bronchus was not seen and there was no endobronchial lesion (Figure 3). Based on radiologic and bronchoscopic findings, the patient seemed to have CCAM in the right lower lobe and BA in the right middle lobe.


Congenital cystic adenomatoid malformation with bronchial atresia in elderly patients.

Kwak HJ, Moon JY, Kim SI, Kim TH, Sohn JW, Kim SH, Shin DH, Park SS, Chung WS, Yoon HJ - Tuberc Respir Dis (Seoul) (2012)

Bronchoscopic examination. The right middle lobe (RML) bronchus is not seen on bronchoscopic examination and there is a suspicious dimpling lesion (arrow) in the proximity of the RML bronchus.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC3475458&req=5

Figure 3: Bronchoscopic examination. The right middle lobe (RML) bronchus is not seen on bronchoscopic examination and there is a suspicious dimpling lesion (arrow) in the proximity of the RML bronchus.
Mentions: On a flexible bronchoscopic examination, the opening of the right middle lobe bronchus was not seen and there was no endobronchial lesion (Figure 3). Based on radiologic and bronchoscopic findings, the patient seemed to have CCAM in the right lower lobe and BA in the right middle lobe.

Bottom Line: CCAM type I is rarely found in association with bronchial atresia (BA) in adults; we present such a case.A 54-year-old female presented with chronic cough and blood-tinged sputum.Based on the radiologic findings, right middle lobectomy and a medial basal segmentectomy of the right lower lobe were performed via a thoracotomy.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.

ABSTRACT

Unlabelled: Congenital cystic adenomatoid malformation (CCAM) is an uncommon, nonhereditary anomaly caused by arrest of lung. Patients with CCAM may present with respiratory distress as newborns, or may remain asymptomatic until later in life. CCAM type I is rarely found in association with bronchial atresia (BA) in adults; we present such a case.

Case: A 54-year-old female presented with chronic cough and blood-tinged sputum. Physical examination and laboratory tests were unremarkable. Chest radiographs and a CT scan of the chest showed multiple large air-filled cysts consistent with a CCAM in the right lower lobe, and an oval-shaped opacity in the distal right middle lobal bronchus. Based on the radiologic findings, right middle lobectomy and a medial basal segmentectomy of the right lower lobe were performed via a thoracotomy. These lesions were consistent with Stocker's Type I CCAM and BA in the different lobes.

No MeSH data available.


Related in: MedlinePlus