2008, Number 1
Rev Mex Cir Pediatr 2008; 15 (1)
Malformacion Quistica Adenomatoidea of outline tardia Case Report and revision of the Bibliography
Leal-Castillo R, Aguirre-Jauregui Ó, Yanowsky-Reyes G, Orozco-Perez J, Santana-Ortiz R
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Language: Spanish
References: 14
Page: 42-46
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ABSTRACT
Introduction: cystic lung lesions are sporadic clinical presentation. Prenatal diagnosis is essential for addressing some of these cases, but in other postnatal presentation approach and thoracoscopic resection is an appropriate route for treatment in hospitals that have this resource.Presentation of Case: Men’s 3 days, perioral cyanosis and digital and respiratory complaints, with right basal hypoventilation, Rx radiopacificación right chest, presence of cystic mass in right hemithorax, CT lesion that displaces the mediastinum. Subjected to thoracoscopy, visualizing the right lung dependent mass between the middle and lower lobe, covered with pleura. The mass was punctured and removed by port extended to 8 mm., Evolution satisfactory lung expansion at 48 hrs., Chest tube is removed with the beginning of oral RX control unchanged. Graduated within 4 days. Histopathology: Pulmonary cystic adenomatoid malformation type II.
Discussion: Prenatal diagnosis of this condition has created a guide for management and treatment, and the puncture in utero resection evacuated or an alternative for cases that develop hydrops fetalis. However, in the case of postnatal diagnosis, who only develop shortness of breath, allow minimally invasive through the diagnosis and definitive treatment. This malformation is present at birth and uncomplicated mild respiratory data, the comprehensive study is made the diagnosis of intrapulmonary cystic mass. It is practical for thoracoscopic resection, less aggressive, shorter hospital stays and lower costs, coupled with an early discharge.
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