Congenital Cystic Adenomatoid Malformation in Lung Specimen Resected as Bronchial Atresia : A First Report

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  • Hisamatsu Chieko
    Department of Pediatric Surgery, Takatsuki General Hospital:Division of Pediatric Surgery, Kobe University Graduate School of Medicine
  • Yamamoto Tetsuo
    Department of Pediatric Surgery, Takatsuki General Hospital
  • Hatakeyama Tadashi
    Department of Pediatric Surgery, Takatsuki General Hospital
  • Bitoh Yuko
    Department of Pediatric Surgery, Takatsuki General Hospital
  • Iwai Yasuhiro
    Department of Pathology, Takatsuki General Hospital

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Other Title
  • 気管支閉鎖症の切除肺に先天性嚢胞性腺腫様奇形を認めた1例
  • 症例報告 気管支閉鎖症の切除肺に先天性嚢胞性腺腫様奇形を認めた1例
  • ショウレイ ホウコク キカンシ ヘイサショウ ノ セツジョハイ ニ センテンセイ ノウホウセイ センシュヨウ キケイ オ ミトメタ 1レイ

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Abstract

A case operated as bronchial atresia in a 1-year-old boy coexisted with congenital cystic adenomatoid malformation (CCAM) in specimen. He was referred to our hospital because of abnormal findings in the chest x-ray and CT when he suffered pneumonia twice. Chest x-ray showed hyperinflation of the upper left lung, infiltrative pneumonia of the lower left lung and mediastinal shift to the right. Bronchial atresia was also suspected by chest CT. Bronchoscopy showed a blind-terminating of the superior division bronchus of the left lung. The left superior division was excised. In addition to cystically dilated bronchus in the proximal resected specimen, small cysts gathered in the distal. Pathological evaluation of the small cysts revealed CCAM, Stocker type 2. The postoperative course was uneventful.

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