DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20193065

Congenital cystic adenomatoid malformation, antenatal diagnosis: about one case

Dembélé Adama, Ouédraogo Issa, Kiemtoré Sibraogo Sibraogo, Bambara Moussa

Abstract


Antenatal ultrasound screening of fetal malformations requires for management, the immediate nature of which at certain birth, conditions the survival of the newborn. The Objectives Describe a case of pulmonary cystic adenomatoid malformation discover during antenatal ultrasonography. It was a 36 years old primary patient, referred to the maternity of Lafontaine hospital (France) for the presence, on obstetrical ultrasound screening, of suspected lesions on the foetal right lung’s field in a 21 weeks gestation pregnancy. After successive obstetric ultrasound scan, it was discovered that the left lungs were big with some parenchymal cysts of different sizes more than 3 mm in diameter. We made a diagnosis of type I left pulmonary cyst adenoma with excess amniotic fluid, without associated anomalies. The pregnancy progressed to 40 weeks gestation and a caesarean section was done with extraction of a live female new born weighing 2730 gr. The new born had 40 days later a successful surgical lobectomy for a cystic adenomatoid dysplasia. Histological examination revealed type I Stocker congenital pulmonary cystic adenomatoid malformation. During obstetrical ultrasound screening, we paid more attention to the brain, the heart, the face. Through this study we realised that during routine antenatal ultrasound for morphology, we should also pay more attention to the lungs.


Keywords


Antenatal ultrasound screening, Congenital cystic adenomatoid malformation, Post natal lobectomy

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References


Marie Carmen DE Frutos. Antenatal ultrasound diagnosis of cystic adenomatoid malformation of the lungs: about two observations at the hospital Notre dame de Bon secours in Paris. Memory. University René Descartes Paris V. 1987;40:5-8.

Revillon Y, Jan D, Plattner V, Sonigo P, Dommergues M, Mandelbrot L, et al. Congenital cystic adenomatoid malformation of the lung: prenatal management and prognosis. J Pediatr Surg. 1993;28(8):1009-11.

Laberge JM, Flageole H, Pugash D, Khalife S, Blair G, Filiatrault D, et al. Outcome of the prenatally diagnosed congenital cystic adenomatoid lung malformation: a Canadian experience. Fetal Diagn Ther. 2001;16(3):178-86.

Taguchi M, Shimizu K, Ozaki Y, Kubota T, Aso T. Prenatal diagnosis of congenital cystic adenomatoid malformation of the lung. Fetal Diagn Ther. 1993;8(2):114-8.

Entezami M, Halis G, Waldschmidt J, Opri F, Runkel S. Congenital cystic adenomatoid malformation of the lung and fetal hydrops, a case with favorable outcome. Eur J Obstet Reprod Biol. 1998;79(1):99-101.

Sapin E, Lejeune V, Barbet JP, Carricaburu E, Lewin F, Baron JM. Congenital adenomatoid disease of the lung : prenatal diagnosis and perinatal management. Pediatr Surg Int. 1997;12(2-3):126-9.

Cha I, Adzick NS, Harrison MR, Finkbeiner WE. Fetal congenital cystic adenomatoid malformations of the lung. a clinicopathological study of eleven cases. Am J Surg Pathol. 1997;21(5):537-44.

Stocker JT, Madewell JE, Drake RM. Congenital cystic adenomatoid malformation of the lung: Classification and morphologic spectrum. Hum Pathol 1977;8(2):155-71.

Adzick NS, Harrison MR, Crombleholme TM, Flake AW, Howell LJ. Fetal lung lesions; management and outcome. Am J Obstet Gynecol 1998;179(4);884-9.

Belkheiri M, Elidrissi F, Bouslami T, Chaoui A. Congenital cystic adenomatoid malformation of the lung. Prenatal diagnosis in a case. Rev Pneumol Clinic. 2001;57(5):356-60.

Jamet F, Deschamps F, Giacalone PL, Sarda P, Boulot P.Congenital adenomatoid cystic formation of the lung and renal polycystocis. A fetal case report and review of the literature. J Gynecol Obstet Biol Reprod (Paris). 1997;26(2):193-6.

Dommergues M, Louis-Sylvestre C, Mandelbrot L, Aubry MC, Revillon Y, Jarreau PH, et al. Congenital adenomatoid malformation of the lung: when is active fetal therapy indicated. Am J Obstet Gynecol. 1997;177(4):953-8.

Monni G, Paladini D, Ibba RM, Teodoro A, Zoppi MA, Lamberti A, et al. Prenatal Ultrasound diagnosis of congenital cystic adenomatoid malformation of the lung: a report of 26 cases and review of the literature. Ultrasound Obstet Gynecol. 2000; 16(2):159-62.

Bunduki V, Ruano R, Da Silva MM, Miguelez J, Miyadahira S, Maksound JG, et al. Pronostic factors associated with congenital cystic adenomatoid malformation of the lung. Prenat Diagn. 2000;20(6):459-64.

Vergnes P, Chateil JF, Boissinot F, Galperine RI, Demarquez JL, Vital C, et al. Antenatal diagnosis of lung malformations. A propos of 9 cases reports. Chir Pediatric. 1989;30(4):185-92.

Golaszewski T, Bettelheim D, Eppel W, Deutnger J, Bernaschek G. Cystic adenomatoid malformation of the lung: prenatal diagnosis, prognostic factors and fetal outcome. Gynecol Obstet Invest. 1998;46(4): 241-6.

Adzick NS, Harrison MR, Glick PL, Globus MS, Andreson RL, Callen PW, et al. Fetal cystic adenomatoid malformation: prenatal diagnosis and natural history. J Pediatr Surg. 1985;20(5):483-8.