Congenital lobar emphysema with cystic lung abnormality: Antenatal ultrasound appearance
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
A 33-year-old woman at 23+2 weeks of gestational age was referred for consultation due to the fi ndings of a cyst in the right lung of the fetus. Prenatal ultrasound showed a 3 cm-sized hypoechogenic cyst, suggesting congenital cystic adenomatoid malformation. As the cyst grew and compressed the heart, serial cyst aspirations were performed. The cyst was proved to be congenital lobar emphysema on postnatal histopathologic exam. No other anomaly was found. Only few cases of congenital lobar emphysema (CLE) have been reported up to date and the prenatal diagnosis is extremely rare. Typically, fetal sonographic features of CLE have a bright echogenic lung and, to date, only 3 cases have been reported to have a cystic lesion. We report a case of a fetus with a cystic lung abnormality and postnatally proved congenital lobar emphysema.
Abstract
A 33-year-old woman at 23+2 weeks of gestational age was referred for consultation due to the fi ndings of a cyst in the right lung of the fetus. Prenatal ultrasound showed a 3 cm-sized hypoechogenic cyst, suggesting congenital cystic adenomatoid malformation. As the cyst grew and compressed the heart, serial cyst aspirations were performed. The cyst was proved to be congenital lobar emphysema on postnatal histopathologic exam. No other anomaly was found. Only few cases of congenital lobar emphysema (CLE) have been reported up to date and the prenatal diagnosis is extremely rare. Typically, fetal sonographic features of CLE have a bright echogenic lung and, to date, only 3 cases have been reported to have a cystic lesion. We report a case of a fetus with a cystic lung abnormality and postnatally proved congenital lobar emphysema.
참고문헌 (15)
- Kravitz RM, "Congenital malformations of the lung", Pediatr Clin North Am, 41, pp.453~472 (1994)
- Richards DS, "Antenatal presentation of a child with congenital lobar emphysema", J Ultrasound Med, 11, pp.165~168 (1992)
- Clements BS, "Congenital malformations of the lungs and airways, In Pediatric respirology medicine", pp.1106~1136 (1999), Mosby
- Pariente G, "Prenatal diagnosis of congenital lobar emphysema: case report and review of the literature", J Ultrasound Med, 28, pp.1081~1084 (2009)
- Ankermann T, "Congenital masses of the lung, cystic adenomatoid malformation versus congenital lobar emphysema: prenatal diagnosis and implications for postnatal treatment", J Ultrasound Med, 23, pp.1379~1384 (2004)
- Babu R, "Prenatal sonographic features of congenital lobar emphysema", Fetal Diagn Ther, 16, pp.200~202 (2001)
- Stocker JT, "Congenital cystic adenomatoid malformation of the lung. Classification and morphologic spectrum", Hum Pathol, 8, pp.155~171 (1977)
- Carrol ED, "Congenital lobar emphysema in congenital cytomegalovirus infection", Pediatr Radiol, 26, pp.900~902 (1996)
- Stocker JT, "Cystic lung disease in infants and children", Fetal Pediatr Pathol, 28, pp.155~184 (2009)
- Goldstein RB, "Ultrasound evaluation of the fetal thorax, In Ultrasonography in obstetrics and gynecology. 4th ed", pp.426~455 (2000), Saunders
- Bagolan P, "Prenatal diagnosis of a bronchogenic cyst in an unusual site", Ultrasound Obstet Gynecol, 15, pp.66~68 (2000)
- Buntain WL, "Lobar emphysema, cystic adenomaloid malformation, pulmonary sequestration, and bronchogenic cyst in infancy and childhood: a clinical group", J Pediatr Surg, 9, pp.85~93 (1974)
- Okabe K, "Congenital lobar emphysema successfully treated by right upper lobectomy at five hours after delivery: a case report", Kyobu Geka, 45, pp.590~594 (1992)
- Usui N, "Outcome predictors for infants with cystic lung disease", J Pediatr Surg, 39, pp.603~606 (2004)
- Al-Bassam A, "Congenital cystic disease of the lung in infants and children (experience with 57 cases)", Eur J Pediatr Surg, 9, pp.364~368 (1999)
