Congenital Cystic Adenomatoid Malformation With Anasarca

Abstract

Theories of the etiology of prostatic calculi at¬ tempt to account for the effects of a variety of factors including glandular secretions, hormones, aging, infection, and urinary obstruction. Many early writers thought that calculi resulted solely from prostatitis and urinary reflux into prostatic ducts.6 They postulated than an inflammatory exú¬ date initiates encrustation of the corpora amylacae, creating a cycle of infection, stasis, and precipita¬ tion of urinary salts.Contemporary reports minimize influence of me¬ chanical factors and emphasize the primary etiologic role of the glandular secretions.1'3 According to current theory, decreased solubility of the calcium salts in prostatic fluid produces prostatic concre¬ tions. Calcium solubility is thought to depend upon the citric acid concentration and to be independent of mechanical factors. This mechanism may contrib¬ ute significantly to calculus formation in normally stimulated glands. However, the discovery of typi¬ cal calculi in this castrated man, challenges the theory that glandular secretions are the sole source of prostatic calculi.

Spontaneous resolution of maternal hydramnios in congenital cystic adenomatoid malformation of the lung. Antenatal ultrasound features

“…If the mass does not communicate freely with the tracheobronchial tree then it may be a source of indolent infection (Halloran et al 1972). The infants tolerate lung resection well (Aslam et al 1970;Halloran et al 1972) but the ultimate outcome depends on the extent of pulmonary hypoplasia and the state of maturation of the normal lung tissue (Donn et al 1981).…”

Antenatal ultrasound findings in cystic adenomatoid malformation

“…There is a tendency for the cystic mass to expand progressively after birth, leading to air trapping [2]. Immediate surgical decompression is the treatment of choice, and though this has been shown to be well-tolerated [1,2] ultimate survival depends upon both the extent of pulmonary hypoplasia and the state of maturation of the normal lung tissue. Analogous to the emergency presented by diaphragmatic hernia, immediate and proper surgical intervention might salvage many of the affected infants whose lungs would otherwise support life.…”

“…There were no other congenital anomalies. has been reported frequently [1,3,5]. Ost6r [5] reported that 80% of affected pregnancies demonstrated acute hydramnios, with the onset usually one to three weeks prior to delivery.…”