Congenital cystic disorders of lung masquerading as complicated pneumonia and pneumothorax: A case series

Congenital cystic disorders of lung masquerading as complicated pneumonia and pneumothorax: A case series

Abstract. Congenital cystic adenomatoid malformation and congenital lobar emphysema are rare embryonic congenital disorders of lung. We report seven such cases of congenital cystic pulmonary disorders out of which, four cases were of congenital cystic adenomatoid malformation and three cases of congenital lobar emphysema. All cases presented with recurrent or persistent pulmonary infection and pneumothorax. These cases had been masquerading as pneumonia and/ or its complication and were treated for it for a variable period of time before being diagnosed as congenital lung malformation after appropriate investigations. We discuss here these rare cases.Key words: Congenital cystic adenomatoid malformation, congenital lobar emphysema, pneumonia, pneumothorax, congenital cystic disorders of lung

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  • Schwartz MZ, Ramachandran P. Congenital malformations of the lung and mediastinum--a quarter century of experience from a single institution. J Pediatr Surg 1997; 32:44-47.
  • Reddaiah VP, Kapoor SK. Epidemiology of pneumonia in rural underfives. Indian J Pediatr 1990; 57: 701-704.
  • Ch'in KY, Tang MY. Congenital cystic adenomatoid malformation of one lobe of a lung with general anasarca. Arch Pathol Lab Med 1949; 48: 221-229.
  • Stocker JT, Madewell JE, Drake RM. Congenital cystic adenomatoid malformation of the lung. Classification and morphologic spectrum. Hum Pathol 1977; 8: 155-171.
  • Lee SC, Cheng YL, Yu CP. Haemopneumothorax from congenital cystic adenomatoid malformation in a cryptorchidism patient. Eur Respir J 2000; 15: 430- 432.
  • Bunduki V, Ruano R, da Silva MM, et al. Prognostic factors associated with congenital cystic adenomatoid malformation of the lung. Prenat Diagn 2000; 20: 459-464.
  • Irving IM. Malformations and acquired lesions of lungs, pleura and mediastinum. In: Lister J, Irving IM. Eds. Neonatal Surgery. London: Butterworth & Co Ltd; 1990, pp 265-271.
  • Bland JW, Reedy JC. Paediatric and neonatal thoracic surgery. In: Kaplan JA, editor. Thoracic Anesthesia. New York: Churchill Livingstone; 1983, pp 541.
  • Irving IM, Rickham PP. Malformations and other affections of lungs, pleura and mediastinum. In: Rickham PP, Lister J, Irving W Eds. Neonatal Surgery. London: Butterworth and Co; 1978, pp 215- 219.
  • Murray GF. Congenital lobar emphysema. Surg Gynaecol Obstet 1967; 124: 611-625.
  • al-Salem AH, Adu-Gyamfi Y, Grant CS. Congenital lobar emphysema. Can J Anaesth 1990; 37: 377-379.
  • Cacciari A, Ceccarelli PL, Pilu GL, et al. A series of 17 cases of congenital cystic adenomatoid malformation of the lung: management and outcome. Eur J Pediatr Surg 1997; 7: 84-89.
  • Pandey KK, Srinivasan S, Bhat BV, Bhatnagar RK, Veliath AJ, Vishnu Bhat B. Congenital cystic adenomatoid malformation of the lung with esophageal atresia. Lung India 1989; 7: 93-94.
  • Luján M, Bosque M, Mirapeix RM, et al. Late-onset
  • congenital cystic adenomatoid malformation of the lung. Embryology, clinical symptomatology, diagnostic procedures, therapeutic approach and clinical follow-up. Respiration 2002; 69: 148-154.