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[Ultrasonic follow up of spontaneous regression of neonatal abdominal cystic changes]
1Semmelweis Orvostudományi Egyetem, Radiológiai Klinika, Budapest.
Insights
Conservative management with ultrasound follow-up is a viable alternative to surgery for uncomplicated abdominal cysts in infants. This approach showed cyst reduction and disappearance in some cases, supporting its use.
Area of Science:
- Pediatric imaging
- Abdominal ultrasonography
- Neonatal surgery
Background:
- Abdominal cysts are found in infants, requiring diagnostic and management strategies.
- Common types include multicystic dysplastic kidneys, ovarian cysts, and bowel duplications.
- Surgical intervention is often considered for abdominal cysts in neonates.
Purpose of the Study:
- To evaluate the efficacy of conservative management for abdominal cysts in infants.
- To determine if non-surgical approaches are suitable alternatives to surgery.
- To assess the role of serial ultrasonography in monitoring cyst resolution.
Main Methods:
- Retrospective review of 14 infants diagnosed with abdominal cysts via ultrasound.
- Follow-up ultrasound examinations were performed on 6 patients.
- Literature review on the management of infantile abdominal cysts.
Main Results:
- 14 infants diagnosed with abdominal cysts: 9 multicystic dysplastic kidneys, 4 ovarian cysts, 1 bowel duplication.
- In 6 follow-up patients, 2 cases of multicystic dysplastic kidneys showed significant reduction.
- One ovarian cyst resolved completely during the follow-up period.
Conclusions:
- Conservative management with serial ultrasound reevaluation is a safe and effective approach for uncomplicated abdominal cysts in infants.
- This strategy can avoid unnecessary surgical procedures.
- Sonographic monitoring allows for assessment of cyst regression and natural resolution.
Abstract:
Abdominal cyst was diagnosed in 14 babies by ultrasound examination (9 multicystic dysplastic kidneys, 4 ovarian cysts, 1 bowel duplication). The cysts were followed up in 6 patients by ultrasound, and marked reduction of multicystic dysplastic kidneys was observed in 2 patients, and 1 ovarian cyst was disappeared. Their experience and a review of the literature suggest that conservative management with sonographic reevaluation is an acceptable alternative to surgical therapy in uncomplicated cases.