The prenatal diagnosis and perinatal outcomes of fetal intra-abdominal cysts

Yıl 2015, , 69 - 75, 16.03.2015

Pınar Kumru , Resul Arısoy , Emre Erdoğdu Oya Demirci , Elif Tozkır , Sevcan Arınkan , Ahmet Tuğrul , Ayşenur Cerrah Celayir , Birol Durukan

https://doi.org/10.16948/zktb.95145

Öz

Objective: The aim of this study is to evaluate the perinatal ultrasonographic findings and perinatal outcome after prenatal diagnosis of fetal abdominal cysts.

Methods: Fetuses diagnosed with abdominal cysts between 2008 and 2013 were retrospectively analysed. We analyzed maternal, fetal and perinatal variables for all cases.

Results: Eighteen fetuses 3 of that are males (16.7%) and 15 are females (83.3%) with the diagnosis of fetal abdominal cyst were analysed. The mean gestational age at diagnosis of a fetal abdominal cyst was 26.78±6.75 weeks. The mean diameter of fetal abdominal cyst was 39.81±20.47 mm at the time of diagnosis. There were 15 liveborn cases and two intrauterine deaths. One case was terminated due to multiple anomalies. Fetal abdominal cyst was resolved in four cases during antenatal follow-up period. Surgery was required in six cases neonatally (40%). Overall spontaneous mortality was 3/17 (17.6%), of which two cases were intrauterine and one case was postoperative.

Conclusions: Parents should be informed about associated anomalies, perinatal, and postnatal outcomes of fetal intra-abdominal cysts. These results may be useful for prenatal counseling of fetal abdominal cyst.

Anahtar Kelimeler

fetus, abdomen, cysts, ultrasonography, prenatal diagnosis, pregnancy outcomes

Fetal intra-abdominal kistlerin prenatal tanı ve perinatal sonuçları

Öz

Amaç: Bu çalışmanın amacı, perinatal tanı alan fetal abdominal kist olgularının ultrason bulguları ve perinatal sonuçlarının değerlendirilmesidir.

Materyal ve Metod: 2008-2013 yılları arasında Fetal abdominal kist tanısı almış olgular retrospektif olarak incelenmiştir. Maternal, fetal  ve perinatal veriler incelenmiştir.

Bulgular: 18 fetal abdominal kist olgusundan üçü (%16,7) erkek 15’i (%83,3) kız fetustü.  Fetal abdominal kist tanı  konulan ortalama gebelik haftası 26,78±6,75 hafta idi. Tanıda ortalama fetal abdominal kist çapı 39,81±20,47 mm olarak saptandı.  15 olgu canlı doğum ile ve 2 olgu intrauterin ölüm ile sonuçlandı. Bir olgu multiple anomali nedeni ile termine edildi. Fetal abdominal kisti olan dört olgu intrauterin hayatta kayboldu. Altı olgunun (%40) cerrahi müdahale gereksinimi oldu. Total spontan mortalite 3/17 (%17,6) olarak, iki olguda intrauterin dönemde, bir olguda postoperatif dönemde meydana geldi.

Sonuç: Aileler Fetal abdominal kistlerle ilişkili anomaliler ve peri-postnatal sonuçları hakkında bilgilendirilmelidir. Bu sonuçlar fetal abdominal kist  olgularının danışmanlığında kullanılabilir.

Anahtar Kelimeler

Fetüs, Karın, Kistler, Ultrasonografi, Prenatal Tanı, Gebelik Sonuçları

Kaynakça

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