[
    {
        "id": "osp-10728",
        "type": "article-journal",
        "title": "A Missed Late Presentation of a Congenital Pulmonary Airway Malformation as a Large Infected Bulla",
        "author": [
            {
                "family": "Lee",
                "given": "Chung Y."
            },
            {
                "family": "Osman",
                "given": "Syazarina S."
            },
            {
                "family": "Isa",
                "given": "Helmee M."
            },
            {
                "family": "SA",
                "given": "Nur"
            }
        ],
        "URL": "https://omanscience.com/en/articles/a-missed-late-presentation-of-a-congenital-pulmonary-airway-malformation-as-a-large-infected-bulla",
        "language": "en",
        "issued": {
            "date-parts": [
                [
                    2025
                ]
            ]
        },
        "container-title": "Sultan Qaboos University Medical Journal",
        "volume": "18",
        "issue": "4",
        "page": "e541-544",
        "DOI": "10.18295/squmj.2018.18.04.020",
        "publisher": "Sultan Qaboos University",
        "ISSN": "2075-051X",
        "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."
    }
]