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Volume 27, Issue 137, July 2023

Early antenatal sonographic assessment of Type III Congenital Pulmonary Airway Malformation

Iram Saifi¹, Roohi G Gupta², Shivali V Kashikar³, Gopidi Nidhi Reddy¹, Vadlamudi Nagendra¹

¹Resident, Department of Radiodiagnosis, Jawaharlal Nehru Medical College, DMIHER, Wardha-442001, Maharashtra, India
²Assistant Professor, Department of Radiodiagnosis, Jawaharlal Nehru Medical College, DMIHER, Wardha-442001, Maharashtra, India
³Professor, Department of Radiodiagnosis, Jawaharlal Nehru Medical College, DMIHER, Wardha-442001, Maharashtra, India

ABSTRACT

Prenatal monitoring has led to an increased diagnosis of lung problems during pregnancy. In the past decade, advances in prenatal imaging have transformed the way congenital cystic lung anomalies are identified, evaluated, and treated. Previously, these anomalies were believed to be solely under the jurisdiction of the surgeon, who was authorized to perform surgery on any cystic lung anomalies, regardless of their size or clinical symptoms, in order to decrease the risk of cancer and promote lung expansion, even in newborns that showed no symptoms. However, given that many of these lesions may improve spontaneously over months to years and potentially resolve without intervention, clinicians are now reconsidering this approach and contemplating a more conservative approach for many infants who exhibit minimal or no symptoms in the early months. We present the case of a 28-year-old woman who underwent a TIFFA scan. Antenatal ultrasound detected a single intrauterine live pregnancy at an average gestational age of 22.4 weeks, and the fetus was diagnosed with CCAM.

Keywords: Prenatal monitoring, Lung problems, Congenital cystic lung anomalies, Conservative approach, CCAM (congenital cystic adenomatoid malformation)