Abstract:
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.
journal_name
Fetal Diagn Therjournal_title
Fetal diagnosis and therapyauthors
Ozyuncu O,Canpolat FE,Ciftci AO,Yurdakok M,Onderoglu LS,Deren Odoi
10.1159/000318191subject
Has Abstractpub_date
2010-01-01 00:00:00pages
153-9issue
3eissn
1015-3837issn
1421-9964pii
000318191journal_volume
28pub_type
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journal_title:Fetal diagnosis and therapy
pub_type: 杂志文章,评审
doi:10.1159/000053929
更新日期:2001-09-01 00:00:00
abstract::Total anomalous pulmonary venous return (TAPVR) is a congenital heart malformation that can be diagnosed in the fetus by indirect indicators on an echocardiogram, such as inability to demonstrate the pulmonary veins returning to the left atrium by color Doppler, the presence of a chamber or the pulmonary venous conflu...
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journal_title:Fetal diagnosis and therapy
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journal_title:Fetal diagnosis and therapy
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journal_title:Fetal diagnosis and therapy
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journal_title:Fetal diagnosis and therapy
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journal_title:Fetal diagnosis and therapy
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journal_title:Fetal diagnosis and therapy
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journal_title:Fetal diagnosis and therapy
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journal_title:Fetal diagnosis and therapy
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journal_title:Fetal diagnosis and therapy
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journal_title:Fetal diagnosis and therapy
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journal_title:Fetal diagnosis and therapy
pub_type: 杂志文章
doi:10.1159/000103292
更新日期:2007-01-01 00:00:00
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journal_title:Fetal diagnosis and therapy
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doi:10.1159/000263946
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journal_title:Fetal diagnosis and therapy
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更新日期:2012-01-01 00:00:00
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journal_title:Fetal diagnosis and therapy
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doi:10.1159/000445946
更新日期:2017-01-01 00:00:00
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journal_title:Fetal diagnosis and therapy
pub_type: 杂志文章
doi:10.1159/000053952
更新日期:2001-11-01 00:00:00
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journal_title:Fetal diagnosis and therapy
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journal_title:Fetal diagnosis and therapy
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journal_title:Fetal diagnosis and therapy
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journal_title:Fetal diagnosis and therapy
pub_type: 杂志文章
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journal_title:Fetal diagnosis and therapy
pub_type: 杂志文章
doi:10.1159/000263889
更新日期:1993-04-01 00:00:00
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journal_title:Fetal diagnosis and therapy
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journal_title:Fetal diagnosis and therapy
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journal_title:Fetal diagnosis and therapy
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