Congenital pulmonary airway malformation in adults: A case series
Introduction. Two-thirds of patients with congenital pulmonary airway malformation are asymptomatic at birth, but during life they may develop symptoms such as recurrent respiratory infections. The purpose of this paper is to present three cases of adult patients in whom congenital pulmonary airway...
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Published in | Medicinski pregled Vol. 75; no. 3-4; pp. 128 - 131 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
2022
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Online Access | Get full text |
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Summary: | Introduction. Two-thirds of patients with congenital pulmonary airway
malformation are asymptomatic at birth, but during life they may develop
symptoms such as recurrent respiratory infections. The purpose of this paper
is to present three cases of adult patients in whom congenital pulmonary
airway malformation was diagnosed and treated at the Institute for Lung
Diseases of Vojvodina, along with the clinical course of the disease and the
therapeutic procedure. Case Report 1. A 24-year-old female with a medical
history of asthma and recurrent signs of lower respiratory tract infections
was referred to a thoracic surgeon. Computed tomography of the chest and
clinical features were consistent with a congenital lung disease. A left
lower video-assisted thoracoscopic lobectomy was performed.
Histopathological analysis confirmed type II congenital pulmonary airway
malformation with pulmonary sequestration. Case Report 2. A 41-year-old male
with a history of left-sided spontaneous pneumothorax at the age of 16 was
referred to a thoracic surgeon due to moderate hemoptysis, one month after
hospital treatment of left-sided bronchopneumonia. On chest computed
tomography, multiple cystic lesions were found in the left lower lung lobe.
Thoracotomy and left lower lobectomy were performed. Histopathological
analysis confirmed type I congenital pulmonary airway malformation. Case
Report 3. The third patient was a 16-year-old male with a history of
juvenile asthma and recurrent right-sided bronchopneumonia. Sings of
necrotizing pneumonia, lung abscess, and mediastinal lymphadenomegaly were
found in the affected lobe. Thoracotomy and right lower lobectomy were
performed. Histopathological analysis confirmed type II congenital pulmonary
airway malformation. Conclusion. In children and young adults with recurrent
small airway inflammation, congenital lung malformation should be considered
in the differential diagnosis. |
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ISSN: | 0025-8105 1820-7383 |
DOI: | 10.2298/MPNS2204128E |