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- Title
Congenital pulmonary airway malformation (CPAM) mimicking an spontaneous pneumothorax in a newborn.
- Authors
Álvarez Barrial, M.; Hurtado de Saracho, F. B. Nava; Bueno Jiménez, A.; Serradilla Rodríguez, J.; Encinas Hernández, J. L.; Martínez, L.; de la Torre Ramos, C.; Barrena Delfa, S.
- Abstract
Introduction. Patients with congenital pulmonary airway malformation (CPAM) are usually asymptomatic, but some may present with respiratory distress. We report a rare presentation of a CPAM as an image compatible with persistent and localized spontaneous pneumothorax. Case report. A 2-month-old male infant without prenatal diagnosis, postnatal distress or barotrauma, was admitted with acute respiratory symptoms and a right tension pneumothorax on chest X-ray. Despite placement of a chest drain, radiological image persisted. CT confirmed the presence of a CPAM. An open surgical approach was decided and a huge bulla depending from the right upper apex lobe was found and resected. Pathological report disclosed type 4 CPAM. Discussion/conclusion. Despite the negative prenatal screening, the diagnosis of CPAM should be considered in a patient with sudden respiratory distress and suspicion of an spontaneous pneumothorax. Type 4 CPAM may appear like unique lung cyst mimicking a spontaneous bullae or a massive pneumothorax.
- Subjects
PNEUMOTHORAX; X-rays; MEDICAL screening; COMPUTED tomography; IMAGE analysis
- Publication
Cirugía Pediátrica (English Edition), 2021, Vol 34, Issue 4, p207
- ISSN
2695-6942
- Publication type
Article