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Congenital cystic adenomatoid malformation (CCAM) is characterized by disorganized, hamartomatous and adenomatoid proliferation of primary bronchiole and occurs with the frequency of 1/11000-1/35000. Histopathologically, there are three types of CCAM, differing in the number and size of the cysts. Usually, surgical management for the symptomatic cases and clinical follow up for the asymptomatic cases are recommended. In this article, a 35-week-old premature infant with CCAM presenting with respiratory distress on postnatal fifth day was reported. A mass covering the 2/3 of the right lung and pushing the mediastinum to the left was determined by the chest radiography and the thorax computerized tomography. When the infant was 12 days old, right upper lobectomy and right lower lobe posterobasal segmentectomy were performed. Histopathologic examination was consistent with CCAM type I. The postoperative period was uneventful. On account of this patient, the importance of early surgical treatment for the symptomatic cases with CCAM was emphasized. © 2010 by Türkiye Klinikleri.

Pulmonary embolism (PE) could not be diagnosed correctly in 2/3 of patients saving of that pathology, and unfortunately mortality in them could be as high as 30%. In the present study, we aimed to investigate the gender differences in clinical, electrocardiography (ECG) and laboratory findings of PE patients diagnosed with contrast-enhanced helical computerized tomography of thorax. 31 patients (18 females, 58% and 13 males, 42%) were Included into the study. Symptoms, risk factors, ECG and arterial blood gases were evaluated, and then Wells, Geneva and ECG scores were obtained in each subject. Alveolo-arterial (A-a) oxygen gradient was calculated as P(A-a)O2= 150-(PCO 2/0.8)-PO2. Mean pulmonary artery pressure (PAP) was measured by echocardiography. In female and male patients, Weils score (4.8 ± 1.9 and 3.2 ± 2.2, p= 0.017); ECG score (5.9 ± 3.6 and 3.1 ± 1.8, p= 0.036) and mean PAP (33.5 ± 12.3 mmHg and 23.2 ± 10.0 mmHg, p= 0.017) were significantly different. However, between female and male patients Geneva score (4.8 ± 1.7 and 5.0 ± 1.6), A-a gradient (35.2 ± 17.3 and 42.9 ± 12.3) and PaCO2 (33.5 ± 15.1 and 29.8 ± 5.4) did not differ significantly (p> 0.05). Immobilization and surgical interventions as risk factors for PE were established significantly higher In females than males (50%-30.8%, p= 0.02 and 50%-23.1%, p= 0.01). In female patients with PE, Wells and ECG scores, Immobilization, surgical interventions and mean PAP are significantly higher than male patients. So, In the clinical practice, these parameters may help to diagnose acute PE especially in females.

Pulmonary embolism (PE) could not be diagnosed correctly in 2/3 of patients saving of that pathology, and unfortunately mortality in them could be as high as 30%. In the present study, we aimed to investigate the gender differences in clinical, electrocardiography (ECG) and laboratory findings of PE patients diagnosed with contrast-enhanced helical computerized tomography of thorax. 31 patients (18 females, 58% and 13 males, 42%) were Included into the study. Symptoms, risk factors, ECG and arterial blood gases were evaluated, and then Wells, Geneva and ECG scores were obtained in each subject. Alveolo-arterial (A-a) oxygen gradient was calculated as P(A-a)O2= 150-(PCO 2/0.8)-PO2. Mean pulmonary artery pressure (PAP) was measured by echocardiography. In female and male patients, Weils score (4.8 ± 1.9 and 3.2 ± 2.2, p= 0.017); ECG score (5.9 ± 3.6 and 3.1 ± 1.8, p= 0.036) and mean PAP (33.5 ± 12.3 mmHg and 23.2 ± 10.0 mmHg, p= 0.017) were significantly different. However, between female and male patients Geneva score (4.8 ± 1.7 and 5.0 ± 1.6), A-a gradient (35.2 ± 17.3 and 42.9 ± 12.3) and PaCO2 (33.5 ± 15.1 and 29.8 ± 5.4) did not differ significantly (p> 0.05). Immobilization and surgical interventions as risk factors for PE were established significantly higher In females than males (50%-30.8%, p= 0.02 and 50%-23.1%, p= 0.01). In female patients with PE, Wells and ECG scores, Immobilization, surgical interventions and mean PAP are significantly higher than male patients. So, In the clinical practice, these parameters may help to diagnose acute PE especially in females.