Late referral of fetal congenital cystic adenomatoid malformation in COVID-19 pregnant women: Diagnostic and management dilemma from limited resource setting country: Case report

we reported a case of late congenital cystic malformation (CCAM) diagnosis with problematic COVID-19 infected condition during delivery and dilemmatic neonatal management. A 24-year-old pregnant woman, second pregnancy, came very in pregnancy (38 weeks gestational age), misdiagnosed diaphragmatic hernia. Our ultrasound examination revealed type-1 the right lung, some normal lung lobes. The Left side was normal. CCAM volume ratio (CVR) 2,79 cm. Due to infection, our multidisciplinary team decided perform quick chest tube insertion ex-utero intrapartum therapy (EXIT) procedure avoid pneumothorax complications continued intubation for newborn. Neonatal middle lobectomy done after optimal at 20 days old pathology anatomic result type 1. diagnosis, type, prognosis should be established earlier make enough time better-prepared management