Subscribe to RSS

DOI: 10.1055/s-0045-1814744
Postnatal Outcome of Prenatally Diagnosed Intra-Abdominal Cysts
Authors
Abstract
Aim
This article compares the antenatal diagnosis of fetal intra-abdominal cysts with postnatal diagnosis and determines the diagnostic accuracy of ultrasound in correctly diagnosing the origin of prenatal abdominal cysts.
Methods
A prospective study of antenatally diagnosed fetal intra-abdominal cysts was conducted from January 2022 to December 2023. Cases of fetal intra-abdominal cysts that fulfilled the criteria were included in the study. The imaging characteristics of various types of cysts were summarized and compared with postnatal follow-up results.
Result
In our study, the fetal intra-abdominal cysts were prenatally diagnosed in 24 cases. Of 24 cases, postnatal follow-up was available for 19 (79.16%) cases. The antenatal diagnosis was confirmed postnatally in 18 cases (94.73%). Five cases could not be examined postnatally, as in two cases pregnancy was terminated, two babies died after birth before investigations, and one case was lost to follow-up.
Conclusion
An appropriate ultrasound examination, combined with comprehensive analysis and careful judgment, leads to an accurate diagnosis and proper postnatal management.
Publication History
Article published online:
09 January 2026
© 2026. Society of Fetal Medicine. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Snijders RJ, Noble P, Sebire N, Souka A, Nicolaides KH. Fetal Medicine Foundation First Trimester Screening Group. UK multicentre project on assessment of risk of trisomy 21 by maternal age and fetal nuchal-translucency thickness at 10-14 weeks of gestation. Lancet 1998; 352 (9125) 343-346
- 2 Nicolaides KH. Nuchal translucency and other first-trimester sonographic markers of chromosomal abnormalities. Am J Obstet Gynecol 2004; 191 (01) 45-67
- 3 Souka AP, Pilalis A, Kavalakis Y, Kosmas Y, Antsaklis P, Antsaklis A. Assessment of fetal anatomy at the 11-14-week ultrasound examination. Ultrasound Obstet Gynecol 2004; 24 (07) 730-734
- 4 Malone FD, Canick JA, Ball RH. et al; First- and Second-Trimester Evaluation of Risk (FASTER) Research Consortium. First-trimester or second-trimester screening, or both, for Down's syndrome. N Engl J Med 2005; 353 (19) 2001-2011
- 5 Gabrielli S, Rizzo N, Reece EA. Gastrointestinal and genitourinary anomalies. In: Reece EA, Hobbins JC. eds. Clinical Obstetrics. The Fetus & Mother. 3rd ed.. Malden, MA: Blackwell Publishing; 2007: 377-400
- 6 Hyett J. Intra-abdominal masses: prenatal differential diagnosis and management. Prenat Diagn 2008; 28 (07) 645-655
- 7 McEwing R, Hayward C, Furness M. Foetal cystic abdominal masses. Australas Radiol 2003; 47 (02) 101-110
- 8 Nyberg DA, Neilson IR. Abdomen and gastrointestinal tract. In: Nyberg DA, McGahan JP, Pretorius DH, Pilu G. eds. Diagnostic Imaging of Fetal Anomalies. Philadelphia, PA: Lippincott Williams & Wilkins; 2003: 547-602
- 9 Hill LM. Ultrasound of fetal gastrointestinal tract. In: Callen PW. ed. Ultrasonography in Obstetrics and Gynecology. 4th ed.. Philadelphia, PA: W. B. Saunders; 2000: 457-487
- 10 Quarello E, Gorincour G, Merrot T, Boubli L, D'Ercole C. The ‘daughter cyst sign’: a sonographic clue to the diagnosis of fetal ovarian cyst. Ultrasound Obstet Gynecol 2003; 22 (04) 433-434
- 11 Fung TY, Leung TN, Leung TY, Lau TK. Fetal intra-abdominal umbilical vein varix: what is the clinical significance?. Ultrasound Obstet Gynecol 2005; 25 (02) 149-154
- 12 Ozkose ZG, Suzen Caypinar S, Bestel A, Ozdemir O. Predictive value of prenatal ultrasound in foetal intraabdominal cystic lesions and evaluation of perinatal outcomes: a single-centre study results. J Obstet Gynaecol 2022; 42 (07) 2659-2664
- 13 Sauvat F, Sarnacki S, Brisse H. et al. Outcome of suprarenal localized masses diagnosed during the perinatal period: a retrospective multicenter study. Cancer 2002; 94 (09) 2474-2480
- 14 Sanna E, Loukogeorgakis S, Prior T. et al. Fetal abdominal cysts: antenatal course and postnatal outcomes. J Perinat Med 2019; 47 (04) 418-421
- 15 Garcia-Aguilar P, Maiz N, Rodó C. et al. Fetal abdominal cysts: predicting adverse outcomes. Acta Obstet Gynecol Scand 2023; 102 (07) 883-890
- 16 Lv M, Zhao B, Luo Q. Prenatal diagnosis and prognosis assessment of fetal intra-abdominal cystic lesions: a retrospective study in 264 cases. J Obstet Gynaecol 2019; 39 (07) 922-927
- 17 Casale AJ. Early ureteral surgery for posterior urethral valves. Urol Clin North Am 1990; 17 (02) 361-372
- 18 Liao AW, Sebire NJ, Geerts L, Cicero S, Nicolaides KH. Megacystis at 10-14 weeks of gestation: chromosomal defects and outcome according to bladder length. Ultrasound Obstet Gynecol 2003; 21 (04) 338-341
- 19 Viora E, Sciarrone A, Bastonero S, Errante G, Campogrande M. Thrombosis of umbilical vein varix. Ultrasound Obstet Gynecol 2002; 19 (02) 212-213
