Late referral of fetal congenital cystic adenomatoid malformation in COVID-19 pregnant women: Diagnostic and management dilemma from limited resource setting country: Case report
Keywords:
Congenital cystic malformation, diagnostic, multidiscipline management, covid-19Abstract
we reported a case of late congenital cystic malformation (CCAM) diagnosis with problematic COVID-19 infected condition during delivery and dilemmatic neonatal management. A 24-year-old pregnant woman, second pregnancy, came very late in pregnancy (38 weeks gestational age), misdiagnosed with congenital diaphragmatic hernia. Our ultrasound examination revealed congenital cystic malformation type-1 in the right lung, with some of the normal lung lobes. The Left side lung was normal. CCAM volume ratio (CVR) 2,79 cm. Due to COVID-19 infection, our multidisciplinary team decided to perform quick chest tube insertion during the ex-utero intrapartum therapy (EXIT) procedure to avoid pneumothorax complications continued with intubation for the newborn. Neonatal middle right lung lobectomy was done after optimal condition at 20 days old with pathology anatomic result of CCAM type 1. The diagnosis, type, and prognosis of CCAM should be established earlier to make enough time for the better-prepared multidisciplinary management of the newborn.
Downloads
References
Aribowo, H., Aurelia, D., & Farandi, G. (2021). Congenital cystic adenomatoid malformation: a case report. Journal of The Medical Sciences (Berkala Ilmu Kedokteran), 53(3). https://doi.org/10.19106/JMedSci005303202111
creasy R., R. R. (2014). Maternal-Fetal Medicine. Principle and practice (7th edition). Elsevier Saunders. https://doi.org/2014
Crombleholme, T. M., Coleman, B., Hedrick, H., Liechty, K., Howell, L., Flake, A. W., Johnson, M., & Adzick, N. S. (2002). Cystic adenomatoid malformation volume ratio predicts outcome in prenatally diagnosed cystic adenomatoid malformation of the lung. Journal of Pediatric Surgery, 37(3), 331–338. https://doi.org/10.1053/jpsu.2002.30832
Dessole, F., Virdis, G., Andrisani, A., Vitagliano, A., Cappadona, R., Dessole, S., Cosmi, E., Capobianco, G., & Ambrosini, G. (2019). Fetal congenital cystic adenomatoid malformation (CCAM): Pathogenesis, diagnosis, and clinical management: A case report. Clinical and Experimental Obstetrics and Gynecology, 46(6), 999–1002. https://doi.org/10.12891/ceog5086.2019
Hedrick, H. L. (2003). Ex utero intrapartum therapy. Seminars in Pediatric Surgery, 12(3), 190–195. https://doi.org/10.1016/S1055-8586(03)00026-X
King, A., Lee, T. C., Steen, E., Olutoye, O. O., Belfort, M. A., Cassady, C. I., Mehollin-Ray, A. R., & Keswani, S. G. (2020). Prenatal Imaging to Predict Need for Urgent Perinatal Surgery in Congenital Lung Lesions. Journal of Surgical Research, 255, 463–468. https://doi.org/10.1016/j.jss.2020.06.001
Kobos, J., Młynarski, D., Bogusz, B., & Górecki, W. (2020). Congenital cystic adenomatoid malformation presentation of 11 cases and literature review. Polish Journal of Pathology, 71(4), 353–356. https://doi.org/10.5114/pjp.2020.103716
Moldenhauer, J. S. (2013). Ex Utero Intrapartum Therapy. Seminars in Pediatric Surgery, 22(1), 44–49. https://doi.org/10.1053/j.sempedsurg.2012.10.008
Reis, A. R. de M. B. dos, Ribeiro, F. B., & Schultz, R. (2015). Congenital cystic adenomatoid malformation type I. Autopsy and Case Reports, 5(3), 21–26. https://doi.org/10.4322/acr.2015.019
Thomas Stocher, J., Madewell, J. E., Army, U., & Drake, R. M. (1977). CONGENITAL CYSTIC ADENOMATOID MALFORMATION OF THE LUNG Classification and Morphologic Spectrum*.
Xia, B., Yu, G., Liu, C., Hong, C., & Tang, J. (2017). Surgical treatment of congenital cystic adenomatoid malformation: a retrospective study of single tertiary center experience. Journal of Maternal-Fetal and Neonatal Medicine, 30(4), 416–419. https://doi.org/10.1080/14767058.2016.1174988
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). Health and treatment of diabetes mellitus. International Journal of Health Sciences, 5(1), i-v. https://doi.org/10.53730/ijhs.v5n1.2864
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
