Fetal abdominal cysts: antenatal course and postnatal outcomes
| Autor: | Muhammad Choudhry, Christoph Lees, Thomas Prior, Iris Derwig, Elisabetta Sanna, G. Paramasivam, Stavros Loukogeorgakis |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty prenatal Ultrasonography Prenatal Abdominal cysts surgery 03 medical and health sciences 0302 clinical medicine Vascularity Pregnancy 030225 pediatrics Abdomen medicine Humans Cyst pelvic cystic Obstetrics & Reproductive Medicine Retrospective Studies Fetus 030219 obstetrics & reproductive medicine business.industry Obstetrics ultrasound Cysts Obstetrics and Gynecology Gestational age 1103 Clinical Sciences medicine.disease United Kingdom Single centre Fetal Diseases Pediatrics Perinatology and Child Health 1114 Paediatrics and Reproductive Medicine Female medicine.symptom business |
| Zdroj: | Journal of perinatal medicine. 47(4) |
| ISSN: | 1619-3997 |
| Popis: | Background There is little information on which to base the prognostic counselling as to whether an antenatally diagnosed fetal abdominal cyst will grow or shrink, or need surgery. This study aims to provide contemporary data on prenatally diagnosed fetal abdominal cysts in relation to their course and postnatal outcomes. Methods Fetal abdominal cysts diagnosed over 11 years in a single centre were identified. The gestational age at diagnosis and cyst characteristics at each examination were recorded (size, location, echogenity, septation and vascularity) and follow-up data from postnatal visits were collected. Results Eighty abdominal cysts were identified antenatally at 28+4 weeks (range 11+0–38+3). Most (87%) were isolated and the majority were pelvic (52%), simple (87.5%) and avascular (100%). Antenatally, 29% resolved spontaneously; 29% reduced in size; 9% were stable and 33% increased in size. Forty-one percent of cysts under 20 mm diameter increased in size, while only 20% of cysts with a diameter of over 40 mm increased in size. The majority of cysts were ovarian in origin (n=45, 56%), followed by intestinal (n=15, 18%), choledochal (n=3, 4%), liver (n=2, 3%) and renal/adrenal origins (n=2, 3%), respectively. In 16% (n=13), the antenatal diagnosis was not obvious. Seventy-five percent of the cysts that persisted postnatally required surgical intervention. Conclusion Most antenatally diagnosed fetal abdominal cysts were ovarian in origin. Though most disappeared antenatally, nearly three quarters required surgical intervention when present after birth. Cysts of intestinal origin are more difficult to diagnose antenatally and often require surgery. |
| Databáze: | OpenAIRE |
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