Abstract:
INTRODUCTION:Congenital cystic adenomatoid malformation (CCAM) is a rare developmental lung abnormality, that typically manifests in neonates and infants but rarely in adults. Ultrasound is an important method of diagnosing CCAM in neonates and infants; however, few articles have reported the value of transthoracic lung ultrasound in the diagnosis of CCAM in adults. PATIENT CONCERNS:We present a case of a 34-year-old woman with a cavitary lesion in her left lower lobe, that suggested chronic inflammation. DIAGNOSIS:The patient underwent ultrasound examination and contrast-enhanced ultrasound-guided transthoracic core biopsy; histology suggested the diagnosis of lung hamartoma. Surgical resection of the lesion followed by histopathological analysis confirmed the diagnosis of CCAM. INTERVENTIONS:The patient underwent transthoracic core biopsy under contrast-enhanced ultrasound guidance. A left lower lobectomy was then performed subsequently. OUTCOMES:The patient had a smooth recovery and remained asymptomatic during the 12-months of postoperative follow-up. CONCLUSION:We report a rare case of CCAM to suggest that transthoracic ultrasound combined with contrast-enhanced ultrasound is a safe and effective method of diagnosing the subpleural lung malformations in adults, thereby avoiding multiple radiation exposures and associated complications.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Xu W,Wen Q,Zha L,Liu C,Huang Pdoi
10.1097/MD.0000000000023505subject
Has Abstractpub_date
2020-12-04 00:00:00pages
e23505issue
49eissn
0025-7974issn
1536-5964pii
00005792-202012040-00097journal_volume
99pub_type
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