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<p>Congenital cystic adenomatoid malformation of the lung (CCAM) is a congenital lung defect characterized by the formation of cysts of varying sizes at different stages of lung morphogenesis. Due to shared causes of embryogenesis disorders, CCAM is associated with other congenital malformations (CMs) in 10–20% of cases. One such CM, an esophageal duplication cyst (EDC), originates from the foregut and accounts for 10–15% of all gastrointestinal tract duplications. The occurrence of CCAM and EDC together in children is rare, with only five documented cases identified in our research. In this report, we present a case of a 16-year-old boy in whom both CCAM and EDC were detected incidentally during a routine examination. Following further evaluation, the patient underwent simultaneous lobectomy and EDC excision using uniportal video-assisted thoracoscopic surgery (uVATS). This case report highlights that simultaneous surgery using uVATS is a safe and effective approach for the management of CMs in the pediatric population.</p>

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Uniportal video-assisted thoracoscopic surgery as a treatment option for cystic esophageal duplication and cystic adenomatous malformation of the right lung in a child

  • 期刊论文

  • 发表日期：

    2025年12月22日

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  • Dmitriy Anatolyevich Pyhteev,
  • Leonid Mihailovich Elin,
  • Galiya Ravilevna Setdikova,
  • Yuriy Nikolaevich Filyushkin,
  • Marina Olegovna Elina,
  • Maksim Vladislavovich Prokofev

摘要

Congenital cystic adenomatoid malformation of the lung (CCAM) is a congenital lung defect characterized by the formation of cysts of varying sizes at different stages of lung morphogenesis. Due to shared causes of embryogenesis disorders, CCAM is associated with other congenital malformations (CMs) in 10–20% of cases. One such CM, an esophageal duplication cyst (EDC), originates from the foregut and accounts for 10–15% of all gastrointestinal tract duplications. The occurrence of CCAM and EDC together in children is rare, with only five documented cases identified in our research. In this report, we present a case of a 16-year-old boy in whom both CCAM and EDC were detected incidentally during a routine examination. Following further evaluation, the patient underwent simultaneous lobectomy and EDC excision using uniportal video-assisted thoracoscopic surgery (uVATS). This case report highlights that simultaneous surgery using uVATS is a safe and effective approach for the management of CMs in the pediatric population.