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HOME > Acute Crit Care > Volume 19(2); 2004 > Article
Case Report Congenital Cystic Adenomatoid Malformation of the Lung Presenting as Hemoptysis in 49-year-old Woman: A Case Report
Jae Il Kim, Bum Jin Oh, Moon Hee Song, Jae Pil Yun, Sung Hye Kim, Kyung Hyun Do, Younsuck Koh

DOI: https://doi.org/
1Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. yskoh@amc.seoul.kr
2Department of Emergency Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
3Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
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Congenital cystic adenomatoid malformation (CCAM) is a rare congenital disorder of pulmonary development that usually presenting as a respiratory distress in the neonatal period. Presentation in adulthood is rare and only 40 cases of CCAM in adulthood have been reported in literatures. A 49-year-old woman presented with hemoptysis. Postero anterior chest radiograph showed an air-fluid level in right upper lobe. A computed tomographic (CT) scan of the chest showed multilocular thick-walled cystic lesions in right upper lobe. A CT angiography showed cystic lesions with normal bronchial artery supply in right upper lobe, which were consistent with CCAM. A complete surgical resection of the right upper lobe was performed confirming a type 2 CCAM according to the expanded Stocker's classification.


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