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Fetal abdominal cysts: Predicting adverse outcomes.

Paula Garcia-Aguilar1, Nerea Maiz1, Carlota Rodó1

  • 1Maternal-Fetal Medicine Unit, Department of Obstetrics, Maternal-Fetal-Medicine Research Group, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.

Acta Obstetricia Et Gynecologica Scandinavica
|May 17, 2023
PubMed
Summary

Early diagnosis of fetal abdominal cysts in the first trimester increases the risk of adverse outcomes. Associated abnormalities are also significant predictors of poor prognosis and need for surgery.

Keywords:
abdominalcystoutcomeperinatalprenatalultrasound

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Area of Science:

  • Perinatology
  • Fetal Medicine
  • Neonatal Surgery

Background:

  • Fetal abdominal cysts are congenital anomalies requiring careful management.
  • Identifying risk factors for adverse outcomes is crucial for prenatal counseling and planning.

Purpose of the Study:

  • To identify risk factors for fetal or neonatal loss, neonatal morbidity, and surgery in fetuses with abdominal cysts.
  • To compare cyst characteristics based on gestational age at diagnosis.

Main Methods:

  • Observational retrospective study at Vall d'Hebron University Hospital (2008-2021).
  • Included pregnant women aged 18+ years with fetal abdominal cyst diagnosis.
  • Analyzed 82 cases, assessing outcomes and predictors.

Main Results:

  • First-trimester diagnosis, male gender, and associated abnormalities predicted fetal/neonatal loss.
  • Associated abnormalities predicted neonatal complications.
  • Second-trimester diagnosis, associated abnormalities, and bowel location predicted the need for postnatal surgery.

Conclusions:

  • First-trimester diagnosis and associated abnormalities are linked to adverse fetal outcomes.
  • Second-trimester diagnosis and intestinal origin increase the likelihood of surgical intervention.