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Upper abdominal cysts in first trimester fetuses
V Holschbach1, C R Lattrich1, O Ortmann1
1Center for Prenatal Medicine, Caritas Krankenhaus St. Josef, Regensburg.
Ultraschall in Der Medizin (Stuttgart, Germany : 1980)
|March 27, 2012
Summary
First trimester fetal abdominal cysts often resolve spontaneously. If no other anomalies are found, these rare findings typically indicate a favorable outcome for the infant.
Area of Science:
- Perinatology
- Fetal Medicine
- Diagnostic Imaging
Background:
- First-trimester fetal abdominal cysts are uncommon findings.
- Understanding their clinical significance is crucial for accurate diagnosis and management.
Purpose of the Study:
- To investigate the clinical significance of upper abdominal cysts detected in the first trimester of pregnancy.
- To evaluate the outcomes of fetuses with these cysts, particularly those exhibiting spontaneous regression.
Main Methods:
- Case series presentation of three fetuses with first-trimester upper abdominal cysts.
- Utilized ultrasonography for diagnosis and follow-up throughout gestation.
- Excluded maternal infections, cystic fibrosis mutations, and chromosomal abnormalities.
Main Results:
- Ultrasonography revealed upper abdominal cysts (15-21 mm) in the first trimester.
- All cysts demonstrated spontaneous regression during the early second trimester.
- Postnatal follow-up showed normal development, with liver calcifications noted on pediatric ultrasound.
Conclusions:
- First-trimester upper abdominal cysts that resolve spontaneously are associated with a favorable prognosis.
- Exclusion of concurrent infections, anatomical, or chromosomal anomalies is critical.
- Awareness of potential, though rare, postnatal gastrointestinal complications is advised.
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