Livrinova Vesna1*, Komina Selim2, Kostadinova Kunovska Slavica2, Aneta Sima1, Aliji Nurie3, Veljanoski Darko4
Congenital Pulmonary Airway Malformation (CPAM) is a congenital lung disease that can be present from prenatal to childhood. The overall incidence of CPAM is reported to be 1 in 10,000 to 1 in 35,000 births, making it the most common type of congenital lung lesion. This malformation results from the interruption of lung development during various stages of embryogenesis. This case report aims to illustrate the disease through ultrasound imaging, emphasize its characteristics, and discuss parental counseling and decision-making regarding the continuation of pregnancy. It is important to highlight the limitations of prenatal diagnostic precision in developing countries and the need for additional diagnostic tools to improve parental decision-making options.
Case Report
Case Presentation:
A 25-year-old multiparous woman (G2.P1) presented to the clinic with her second pregnancy. She had undergone three antenatal checkups before being referred to our clinic for second-trimester screening for congenital abnormalities, with her previous checkups indicating a normal pregnancy. She was referred to at 22 weeks of gestation with a singleton pregnancy con????irmed by an abdominal ultrasound examination. The ultrasound revealed a single fetus with normal fetal movements and biometrics corresponding to the gestational age (23 weeks). The amniotic ????fluid level was normal, and the placenta had a normal appearance and insertion. No structural defects were detected in the kidneys or other organs. The ultrasound showed normal heart structures, but a mediastinal shift to the right side of the chest was observed, caused by several cystic changes
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