Abstract
A congenital pulmonary airway malformation (CPAM) is a rare cystic anomaly that may occur during development of the fetal airways. The vast majority of CPAMs are detected in neonates; as such, it is unusual for diagnosis to occur in adulthood. We report a 21-year-old male patient who presented to the emergency department of the Hospital Ampang, Kuala Lumpur, Malaysia, in 2015 with chest pain, breathlessness and tachypnoea. Based on an initial chest X-ray, the patient was misdiagnosed with pneumothorax and underwent urgent chest tube insertion; however, his condition deteriorated over the course of the next three days. Further imaging was suggestive of infected bullae or an undiagnosed CPAM. The patient therefore underwent video-assisted thoracoscopic surgery, during which a large infected bulla was resected. A diagnosis of an infected CPAM was confirmed by histopathological examination. Following the surgery, the patient recovered quickly and no bullae remnants were found at a one-month follow-up.
Publication Date
3-28-2019
First Page
e541
Last Page
544
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Lee, Chung Y.; Osman, Syazarina S.; Noor, Helmee M.; and Isa, Nur S. A.
(2019)
"A Missed Late Presentation of a Congenital Pulmonary Airway Malformation as a Large Infected Bulla,"
Sultan Qaboos University Medical Journal: Vol. 18: e541-544.
DOI: https://doi.org/10.18295/squmj.2018.18.04.020
