Differences in Origin and Outcome of Intra-Abdominal Cysts in Male and Female Fetuses
2019
textabstractObjective: To investigate the origin and outcome in a cohort
of male and female fetuses with intra-abdominal cysts, in order to provide recommendations on management and to
improve prenatal counselling. Methods: From 2002 to 2016,
intra-abdominal cysts were detected by ultrasound in 158
fetuses. Cases with an umbilical vein varix were excluded.
Fetal, neonatal, and maternal characteristics were retrieved
from electronic patient files. Results: In female fetuses (n =
114), intra-abdominal cysts were diagnosed at a later gestational age compared with male fetuses (n = 44) (median 32.0
vs. 21.5 weeks, p < 0.001). The maximum prenatal cyst diameter was larger in female fetuses (median 35 vs. 17 mm, p <
0.001). Associated anomalies were less frequent in females
(n = 15, 13.2%) compared with males (n = 15, 34.1%). In females (n = 114), most cysts were of ovarian origin (n = 81,
71.1%). Surgery was performed in 30 (26.3%) female and 15
(34.1%) male neonates (p = 0.33). Anorectal malformations
were present in 6 cases and often not recognized prenatally.
Conclusions: The differences in the origin of intra-abdominal cysts between male and female fetuses, resulting in differences in prenatal presentation and postnatal outcome
Keywords:
- Correction
- Source
- Cite
- Save
- Machine Reading By IdeaReader
23
References
2
Citations
NaN
KQI