Journal of Medical Ultrasound

CASE REPORT
Year
: 2021  |  Volume : 29  |  Issue : 4  |  Page : 284--287

Atypical antenatal presentation of an unusual nonmucinous papillary variant of giant congenital pulmonary airway malformation masquerading as congenital diaphragmatic hernia with volvulus


Basil Mathews1, Balaganesh Karmegaraj2, C Vidya3, Vivek Krishnan1 
1 Department of Fetal Medicine and Perinatology, Amrita Institute of Medical Sciences, Kochi, Kerala, India
2 Department of Fetal and Pediatric Cardiology, Amrita Institute of Medical Sciences, Kochi, Kerala, India
3 Department of Fetal Pathology, Amrita Institute of Medical Sciences, AIMS, Kochi, Kerala, India

Correspondence Address:
Dr. Vivek Krishnan
Division of Fetal Medicine and Perinatology, Amrita Institute of Medical Sciences, Ponekkara PO, Kochi - 682 041, Kerala
India

We report a case of a huge congenital pulmonary airway malformation (CPAM) that was referred as congenital diaphragmatic hernia (CDH). Initial ultrasound evaluation revealed a huge cystic lesion with septations, in the thorax, causing mediastinal shift and compression effects, suggesting the possibility of a thoracic lymphangioma, or bowel herniation with obstruction. A fetal magnetic resonance imaging reported possible bowel herniation through a posterior defect in the diaphragm, with volvulus, reinforcing the diagnosis of CDH. It was only on autopsy and subsequent histopathology examination that the diagnosis of a rare variant of CPAM–nonmucinous papillary type, could be made. To the best of our knowledge, a CPAM this huge has not been reported prenatally at this gestation. We recommend considering the potential diagnosis of CPAM in any thoracic cystic irrespective of its size or appearance.


How to cite this article:
Mathews B, Karmegaraj B, Vidya C, Krishnan V. Atypical antenatal presentation of an unusual nonmucinous papillary variant of giant congenital pulmonary airway malformation masquerading as congenital diaphragmatic hernia with volvulus.J Med Ultrasound 2021;29:284-287


How to cite this URL:
Mathews B, Karmegaraj B, Vidya C, Krishnan V. Atypical antenatal presentation of an unusual nonmucinous papillary variant of giant congenital pulmonary airway malformation masquerading as congenital diaphragmatic hernia with volvulus. J Med Ultrasound [serial online] 2021 [cited 2022 Nov 29 ];29:284-287
Available from: http://www.jmuonline.org/article.asp?issn=0929-6441;year=2021;volume=29;issue=4;spage=284;epage=287;aulast=Mathews;type=0