Perinatal Outcomes of Fetal Abdominal Cysts and Comparison of Prenatal and Postnatal Diagnoses
| Autor: | Ozgur Deren, Arbay Ozden Ciftci, Lutfu Onderoglu, Murat Yurdakök, Fuat Emre Canpolat, Özgür Özyüncü |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male Embryology medicine.medical_specialty Gestational Age Prenatal diagnosis Sensitivity and Specificity Ultrasonography Prenatal Diagnosis Differential Pregnancy Abdomen Infant Mortality medicine Humans Radiology Nuclear Medicine and imaging Cyst Neonatology Medical diagnosis Retrospective Studies Chromosome Aberrations Cysts Obstetrics business.industry fungi Infant Newborn Pregnancy Outcome food and beverages Obstetrics and Gynecology Gestational age General Medicine medicine.disease Fetal Diseases Perinatal Care medicine.anatomical_structure Pediatrics Perinatology and Child Health Fetal Mortality Female Differential diagnosis business |
| Zdroj: | Fetal Diagnosis and Therapy. 28:153-159 |
| ISSN: | 1421-9964 1015-3837 |
| DOI: | 10.1159/000318191 |
| Popis: | Introduction: The differential diagnosis of an abdominal cyst can be challenging, and an accurate diagnosis is crucial for optimal antenatal management. The aim of this study was to compare the ante- and postnatal diagnoses of cases with abdominal cyst and to determine the diagnostic accuracy of ultrasonography. Material and Methods: A database review was performed regarding the diagnosis of fetal abdominal cyst covering the period 2002–2009. Structural characteristics and localizations of the cysts in the abdomen were recorded. Ante- and postnatal diagnoses were classified into systems according to the origin of the cyst and were compared. Perinatal outcomes were obtained for all cases. Results: 71 cases with an abdominal cyst were identified. The mean gestational age at the time of diagnosis was 25 ± 5.1 weeks. In 9 cases, there were extra-fetal structural abnormalities, and in 5 cases a chromosomal abnormality was determined. Seven pregnancies were terminated. Overall spontaneous mortality was 11/64 (17%). In 12/64 cases (18%), the cyst resolved at birth. After birth, nearly half of the cases required surgical correction and of these, 20% died. Sensitivity, specificity and positive predictive value of ultrasonography in identifying the system of origin were 88.1, 95.7 and 92.0%, respectively, with a 4.1% false-positive rate. Conclusion: Incorporation of different disciplines in the counseling, management and postpartum follow-up is crucial. Postnatal physical examination of fetuses with an abdominal cyst will help to prevent unnecessary surgery. |
| Databáze: | OpenAIRE |
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