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Conservative Management on Antenatally Found Congenital Cystic Adenomatoid Malformation: A 1-Year Follow-Up Case
Bambang Abimanyu1, Muhammad Robyanoor Ahyadi Radaam1, Ruth Widhiati Raharjo Putri1
1Faculty of Medicine and Health Sciences, Ulin Regional Hospital, Lambung Mangkurat University, Banjarmasin, Indonesia, unlam.ac.id.
Insights
This case report details a rare congenital cystic adenomatoid malformation (CCAM) diagnosed before birth and in infancy. The infant showed no respiratory distress during the first year of life, indicating favorable outcomes for CCAM.
Area of Science:
- Pediatric Surgery
- Fetal Medicine
- Neonatology
Background:
- Congenital Cystic Adenomatoid Malformation (CCAM) is a rare congenital lung malformation.
- Early diagnosis and management are crucial for favorable outcomes.
Purpose of the Study:
- To report a rare case of CCAM diagnosed antenatally and postnatally.
- To describe the clinical presentation, diagnosis, and 1-year follow-up of a CCAM case.
Main Methods:
- Retrospective case report of a single patient.
- Diagnosis confirmed via antenatal ultrasound (USG), postnatal babygram, CT scan, and chest X-rays.
- Clinical observation for 1 year post-birth.
Main Results:
- CCAM was diagnosed antenatally via USG and confirmed postnatally.
- Imaging revealed CPAM type III and infected CPAM type I/CCAM.
- The infant experienced no respiratory distress during the 1-year follow-up period.
- A left superior pulmonary cyst was noted on chest X-ray at 1 year.
Conclusions:
- CCAM can be effectively diagnosed perinatally using ultrasound.
- Management strategies for CCAM are guided by lesion size and neonatal respiratory status.
- This case highlights a favorable outcome with no respiratory symptoms in a CCAM patient over 1 year.
Objective:
We report a rare case of congenital cystic adenomatoid malformation (CCAM) diagnosed antenatally based on USG and postnatally based on babygram, CT scan, and chest x-ray. We follow up the baby up to 1 year of age.
Method:
This study is a retrospective case report describing the clinical presentation, diagnosis, and management of a single patient.
Results:
The patient is an outpatient clinic with a diagnosis of G2P1A0, gestational age 38-39 weeks with breech presentation, not in labor, and the fetus is suspected for CCAM. The patient was planned for termination with cesarean delivery. The patient was first diagnosed with CCAM based on antenatal USG examination: A cystic mass in the thorax region of the fetus measuring 1.5 cm was found. The baby was then born by CS in consideration of breech presentation. At birth, the baby had a good APGAR score of 7-8-9. The baby underwent a babygram at 2 days old, which showed a CPAM type III result; CT scan at 16 days old showed infected CPAM type I/CCAM. The baby has been observed for 1 year of life, and no signs of respiratory distress were found. The latest chest x-ray at 1 year of age showed left superior pulmonary cyst.
Conclusion:
CCAM can be diagnosed perinatally by ultrasound examination. Management of CCAM depends on the size of the lesion and whether significant respiratory distress is present in the newborn. In our case, the CCAM was established prenatally and postnatally; no signs of respiratory symptoms were found within 1 year of age.
