Donald School Journal of Ultrasound in Obstetrics and Gynecology

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VOLUME 8 , ISSUE 2 ( April-June, 2014 ) > List of Articles

RESEARCH ARTICLE

Lung Malformations: Prenatal Ultrasound Diagnosis and Obstetrical Management

Gheorghe Iliev, Irina Dumitrascu, Mihaela Grigore, Elena Mihalceanu, Daniela Scripcaru, Gabriela Zoican, Gabriel Aprodu, Anca Bivoleanu, Andrei Petrariu, Maria Stamatin

Keywords : Congenital high airway obstruction syndrome,Cystic adenomatoid malformation,Echogenic lung,Hydrothorax,Pulmonary agenesis,Bronchopulmonary sequestration

Citation Information : Iliev G, Dumitrascu I, Grigore M, Mihalceanu E, Scripcaru D, Zoican G, Aprodu G, Bivoleanu A, Petrariu A, Stamatin M. Lung Malformations: Prenatal Ultrasound Diagnosis and Obstetrical Management. Donald School J Ultrasound Obstet Gynecol 2014; 8 (2):134-143.

DOI: 10.5005/jp-journals-10009-1348

License: CC BY-NC 4.0

Published Online: 01-06-2014

Copyright Statement:  Copyright © 2014; The Author(s).


Abstract

Purpose

We present our experience in prenatal diagnosis and obstetrical management of congenital lung malformations (CLM).

Materials and methods

The diagnosis of CLM was performed during routine second and third trimester fetal morphology assessment. The extent of the disease was established according to the type, localization and size of the pulmonary lesion and the presence of fetal complications (mediastinal shift, fetal hydrops, hydramnios). Termination of pregnancy (TOP) was indicated in cases associated with extrapulmonary anomalies, untreatable cases and fetal hydrops. After delivery a pulmonary X-ray and surgical examination was performed in all newborns.

Results

We diagnosed 15 cases with congenital lung malformations. Of these, 9 had congenital cystic adenomatoid malformation (CCAM). TOP was performed in 6 cases with CCAM. Three cases had a favorable pre/postnatal evolution. Bronchopulmonary sequestration (BPS) was diagnosed in 3 cases, all with favorable perinatal evolution. Right pulmonary agenesis was diagnosed in one case and the outcome was neonatal death. One case of congenital high airway obstruction syndrome was followed by TOP. One case of severe bilateral pulmonary hypoplasia (secondary to a severe bilateral hydrothorax) resulted in neonatal death.

Conclusion

Obstetrical management is established individually depending on the severity of the cases.

How to cite this article

Iliev G, Dumitrascu I, Grigore M, Mihalceanu E, Scripcaru D, Zoican G, Aprodu G, Bivoleanu A, Petrariu A, Stamatin M. Lung Malformations: Prenatal Ultrasound Diagnosis and Obstetrical Management. Donald School J Ultrasound Obstet Gynecol 2014;8(2):134-143.


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