Year 2018 Vol. 26 No 4

CASE REPORTS

S.P. DOSMAGAMBETOV, B.K. DZHENALAEV, B.N. BISALIEV, A.B. TUSUPKALIEV, A. BATYROV

CONGENITAL CYSTIC LUNG MALFORMATION IN NEWBORNS

West Kazakhstan Marat Ospanov State Medical University,
Aktobe, Kazakhstan

Objective. To assess diagnostic and therapeutic measures in rare malformation of the lungs of a newborn.
Methods. The clinical case of congenital cystic malformation of the lungs in a newborn is given. Clinical symptoms, diagnostics, intraoperative tactics, and postoperative management are described.
Results. The analysis of case history of a newborn with congenital lung malformation denotes the manifestation of respiratory distress syndrome in the first hours of a childs life. Computed tomography (CT) of the lungs allowed not only to confirm the nature of the changes in the left lung, but also to clarify the localization of the lesion, the condition of not affected areas of the lung, the degree of mediastinum displacement, allowed to make a differential diagnosis with other congenital lung malformations. Removing the affected area of the left lung resulted in a decrease of respiratory failure, elimination of hemodynamic disorders and pulmonary hypertension.
Conclusions. Congenital cystic lung malformation is a rather rare malformation. But if malformation of the lung is not diagnosed during antenatal period, then its diagnostics from the first days of a childs life could be not a simple task. The manifestation of respiratory distress syndrome in a child with the first days of life, the correct interpretation of the plan X-ray pictures of the chest, CT of the lungs allow to put diagnosis correctly and in proper time. The removal of a faulty lobe of the lung in the neonatal period is a pathogenetically justified method of treatment. In the postoperative period children require long-term follow-up.

Keywords: congenital malformation of the lung, cystic malformation of the lung, ystic hypoplasia of the lung, respiratory distress syndrome, pneumothorax, diagnosis, surgical treatment
p. 496-501 of the original issue
References
  1. Karavaeva SA, Nemilova TK, Kotin AN, Patrikeeva TV, Starevskaya SV, Ilina NA, Borisova NA. Diagnostics and treatment of congenital malformations of the lung and mediastinum in newborn children and infants. Vestn Khirurgii Im II Grekova. 2015;174(1):40-42. https://elibrary.ru/item.asp?id=22943115 (in Russ.)
  2. Chikkannaiah P, Kangle R, Hawal M. Congenital cystic adenomatoid malformation of lung: Report of two cases with review of literature. Lung India. 2013 Jul-Sep;30(3):215-18. doi: 10.4103/0970-2113.116272
  3. Wilson RD, Hedrick HL, Liechty KW, Flake AW, Johnson MP, Bebbington M, Adzick NS. Cystic adenomatoid malformation of the lung: review of genetics, prenatal diagnosis, and in utero treatment. Am J Med Genet A. 2006 Jan 15;140(2):151-55. doi: 10.1002/ajmg.a.31031
  4. Stocker JT, Madewell JE, Drake RM. Congenital cystic adenomatoid malformation of the lung. Classification and morphologic spectrum. Hum Pathol. 1977 Mar;8(2):155-71. doi: 10.1016/S0046-8177(77)80078-6
  5. Galiagina N.A., Khaletskaia O.V. Iskhody vrozhdennykh kistoznykh malformatsii legkikh u detei i taktika ikh vedeniia v zavisimosti ot osobennostei klinicheskogo techeniia. Sovr Tekhnol v Meditsine. 2014;6(2):77-84. URL https://elibrary.ru/item.asp?id=21642653 (in Russ.)
  6. Stashuk GA, Vishnyakova MV, Shcherbina VI, Zakharova MO. Congenital adenomatoid lung type 1 malformation in a newborn. Alm Klin Meditsiny. 2015;(43):127-130. doi: 10.18786/2072-0505-2015-43-127-130 (in Russ.)
  7. Ilina NA. Modern methods of radiology in diagnostics congenital cystic adenomatoid malformation at newborns and children of early age. Med Vizualizatsiia. 2010;(2):8895. URL: vidar.ru/_getfile.asp?fid=MV_2010_2_88 (in Russ.)
Address for correspondence:
030020, Kazakhstan,
Aktobe, Maresyev Str., 68,
West Kazakhstan Marat Ospanov
State Medical University,
Department of Pediatric Surgery,
Tel. mobile: 8-701-559-68-10,
e-mail: dossag2011@mail.ru,
Sagidulla P. Dosmagambetov
Information about the authors:
Dosmagambetov Sagidulla P., PhD, Associate Professor of the Department of Pediatric Surgery, West Kazakhstan Marat Ospanov State Medical University, Aktobe, Kazakhstan.
https://orcid.org/0000-0002-6525-8438
Dzhenalaev Bulat ., MD, Professor of the Department of Pediatric Surgery, West Kazakhstan Marat Ospanov State Medical University, Aktobe, Kazakhstan.
https://orcid.org/0000-0001-7494-5072
Bisaliev Baurzhan N., PhD, Associate Professor of the Department of Pediatric Surgery, West Kazakhstan Marat Ospanov State Medical University, Aktobe, Kazakhstan.
https://orcid.org/0000-0002-4875-1140
Tusupkaliev Asylbek B., PhD, Associate Professor, Head of the Department of Pediatric Surgery, West Kazakhstan Marat Ospanov State Medical University, Aktobe, Kazakhstan.
https://orcid.org/0000-0003-2386-2984
Batyrov Ashat, 3rd Year of Study Resident of the Department of Pediatric Surgery, West Kazakhstan Marat Ospanov State Medical University, Aktobe, Kazakhstan.
https://orcid.org/0000-0001-8207-5898
Contacts | ©Vitebsk State Medical University, 2007-2023