Document Detail


Case report of congenital cystic adenomatoid malformation type III with lethal outcome.
MedLine Citation:
PMID:  20422830     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present a rare case of congenital cystic adenomatoid malformation (CCAM) type III (mycrocystic) in young, 19 years old primigravida. Diagnosis has been accomplished by ultrasound examination in 26th week of gestation. Hyperechogenic, mycrocystic mass was found in left pulmonary lobe with contra lateral displacement of mediastinum, hypoplasia of the right lung and extensive polyhydramnios. Prenatal therapy was based upon a serial of amniodrainage procedures and pharmacological inhibition of amniotic fluid production and uterine activity. Spontaneous preterm labor occurred at 34 weeks of gestation, Diagnosis was confirmed postnatal. Infant was ventilated due to respiratory insufficiency and was operated at the age of 24 hours. Lethal outcome occurred during the second day due to heavy respiratory insufficiency provoked by pulmonary hypoplasia. We discuss about types of a disease, prenatal diagnostic and therapeutic possibilities and pregnancy outcome.
Authors:
Tomislav Kulas; Zeljko Duic; Zlatka Reljica Kostic; Zana Zegarac; Ruza Grizelj; Dubravko Habek; Zlatko Hrgovic; Ingrid Marton; Sebija Izetbegovic
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Medicinski arhiv     Volume:  64     ISSN:  0350-199X     ISO Abbreviation:  Med Arh     Publication Date:  2010  
Date Detail:
Created Date:  2010-04-28     Completed Date:  2010-05-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400722     Medline TA:  Med Arh     Country:  Bosnia and Hercegovina    
Other Details:
Languages:  eng     Pagination:  55-9     Citation Subset:  IM    
Affiliation:
Clinic for Female Illness and Delivery, Clinical Hospital "Merkur", Zagreb, Croatia.
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MeSH Terms
Descriptor/Qualifier:
Cystic Adenomatoid Malformation of Lung, Congenital / diagnosis,  therapy*
Fatal Outcome
Female
Humans
Pregnancy
Pregnancy Complications / diagnosis,  therapy*
Young Adult

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