Macrocystis of the Lung in a Preterm Neonate: Case Report
Journal Title: Journal of Case Reports and Studies - Year 2017, Vol 5, Issue 5
Abstract
Background: Thoracic ultrasonography has been used to evaluate pulmonary parenchyma and the macrocystis of the lung in a preterm with congenital cystic adenomatoid malformation type I. The images gained have been important for diagnosis and therapeutic strategies in our case. Case summary: An infant was prematurely born with congenital cystic adenomatoid malformation type I. The chest X-ray and computerized tomography showed a great opaque area in the entire right lung, we considered performing a pneumonectomy. This opaque area hampered the expansion of left lung. After draining the macrocystis by ultrasonography-guided puncture, it was possible considering and performing the lobectomy due to the reduction of the volume of macrocystis. During follow up at 4 months, the infant did not show complications and the chest X-ray revealed the reduction of volume of the dense area in parenchyma of right lung. Conclusion: In a congenital cystic adenomatoid malformation, health care providers should try to expand the health lung before of considers a surgical operation. The evaluation of the macrocystis with computerized tomography and ultrasonography allowed choosing the therapeutic strategy. If multiple lobes are affected, pneumonectomy should be performed while if lesion is confined in one lobe, a lobectomy should be executed.
Authors and Affiliations
De Bernardo G
Keywords
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- EP ID EP584620
- DOI 10.15744/2348-9820.5.502
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