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Congenital cystic adenomatoid malformation in a toddler: Unusual presentation with pleural effusion

Radia Laanait1, Karima El Fakiri1, Noureddine Rada1

  • 1Pediatric A Department, Mohammed VI University Hospital, Marrakesh, Morocco, Faculty of Medicine and Pharmacy, University Cadi Ayyad, Morocco.

Radiology Case Reports
|September 9, 2024
PubMed

Insights

Congenital cystic adenomatoid malformation (CCAM) is a rare lung lesion. This case highlights CCAM presenting as pleural effusion in an infant, successfully treated with surgery.

Area of Science:

  • Pediatric Pulmonology
  • Thoracic Surgery
  • Medical Imaging

Background:

  • Congenital cystic adenomatoid malformation (CCAM) involves abnormal lung development, typically diagnosed in early childhood.
  • CCAM presents with diverse clinical and radiological features, often requiring surgical intervention.

Observation:

  • A 15-month-old boy presented with acute respiratory distress due to pleural effusion.
  • Chest CT scan identified a cystic lesion in the right lower lobe, consistent with CCAM.

Findings:

  • Surgical excision confirmed CCAM Type 1 without malignancy.
  • Post-operative recovery was uneventful with no recurrence during 8-month follow-up.

Implications:

  • Early diagnosis of CCAM is critical for timely intervention and improved outcomes in infants.
  • Enhanced awareness among pediatricians and radiologists can facilitate prompt management of this rare congenital anomaly.

Keywords:
Congenital cystic adenomatoid malformationPleural effusionRespiratory distressSurgical resection

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