Congenital cystoid adenomatoid malformation: Surgery in a young child

Area of Science:

• Pediatric Surgery
• Thoracic Surgery
• Congenital Lung Abnormalities

Background:

• Congenital cystic adenomatoid malformation (CCAM) is a rare congenital lung malformation.
• CCAM can lead to recurrent respiratory infections and other complications in infants and children.
• Early diagnosis and appropriate management are crucial for favorable outcomes.

Observation:

• A 3.5-year-old child presented with a history of recurrent chest infections and fever since birth.
• Antenatal ultrasonography revealed a congenital cystic malformation in the left lower lobe of the lung.
• The child was initially managed conservatively.

Findings:

• The child underwent an uneventful left lower lobectomy via posterolateral thoracotomy.
• Post-operative recovery was smooth, with significant resolution of symptoms.
• Histopathological examination confirmed the diagnosis of CCAM.

Implications:

• Surgical resection (lobectomy) is an effective treatment for symptomatic CCAM.
• Timely surgical intervention can prevent long-term respiratory complications.
• This case highlights the importance of considering congenital lung malformations in pediatric patients with recurrent infections.