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Congenital Lung Lesions (CLL): Postnatal Management: Operative Intervention or Serial Observation: A Review of 2 Cases
Authors: Niraj Kumar Dipak *, Deepa shetty, Sudha Rao, Praful Ramdas Shanbhag, Avinash Desai, Manjula Rupani.
Number of views: 336
Background: Antenatal diagnosis of CLLs can be made as early as 18 weeks of gestation and sequential scanning guides in fetal intervention, or in adopting conservative management. Pregnancy outcome depends upon many factors such as mediastinal shift, presence of pleural effusion, ascites, hydrops, chromosomal anomalies and malformations involving other systems.
Case characteristics: We present a series of 2 cases presented prenatally as CLL and managed differently, one with operative intervention whereas other one with serial observation
Conclusion: The best postnatal management is uncertain for these lesions and informed consent for operative intervention must include current state of evidence.
KEY WORDS: Cystic Adenomatoid Malformation, Bronchpulmonary Sequestration, Thoracotomy, Conservative Management, Echolucent, Polyhydramnios.