Outcome of first‐trimester fetal abdominal cysts: cohort study and review of the literature

Khalil, Asma; Cooke, Patricia; Mantovani, E.; Bhide, A.; Papageorghiou, Aris T.; Thilaganathan, B.

doi:10.1002/uog.12552

Cited by 27 publications

(35 citation statements)

References 33 publications

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“…Obviously, a cystic mass in the fetal abdomen prompts differential diagnosis with conditions other than ARA. Khalil et al, in a cohort retrospective study on 14 fetuses in which cystic structures were found at the first trimester anomaly scan, did not report any ARA but concluded that, considering the high probability that obstruction and gut malrotation produce bowel dilatation, this diagnosis should be included in differential diagnosis algorithms [24].…”

Section: Discussionmentioning

confidence: 99%

Can Anorectal Atresia Be Diagnosed in the First Trimester of Pregnancy? A Systematic Literature Review

et al. 2020

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Anorectal atresia (ARA) is a common congenital anomaly, but prenatal diagnosis is difficult, late, and unspecific. Utilizing a case of a 46 year old primipara with an egg donation In Vitro Fertilization (IVF) pregnancy, diagnosed at the first trimester scan with an anechoic isolated structure, which indicates anal atresia, we performed a systematic literature review in order to evaluate early prenatal ARA diagnosis. A total of 16 cases were reported as first trimester ARA suspicion, and only three had no associated anomalies. The most frequent ultrasound (US) sign was the presence of a cystic, anechoic pelvic structure of mainly tubular shape, or a plain abdominal cyst. In the majority of cases, structures were thin-walled and delimitated from the bladder. The presence of hyperechoic spots signifying enterolithiasis and peristaltic movements were helpful in order to establish the bowel origin of the lesion. Considering the high eventuality that the lesion is transitory, meaning later in pregnancy the fetus looks normal, early detection of such a sign should prompt further structural detailed evaluation, karyotyping, and appropriate pregnancy and postnatal counselling.

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Section: Discussionmentioning

confidence: 99%

Can Anorectal Atresia Be Diagnosed in the First Trimester of Pregnancy? A Systematic Literature Review

et al. 2020

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“…There are nine additional reports in the literature on 14 cases of first trimester expression of ARM-including the present report (Table 1). [7][8][9][10][11][12][13][14][15] At least seven cases were terminated between 12 and 23 weeks, one case had late missed abortion at 18 W and two other cases were delivered at 29 and 39 weeks by cesarean section. At least nine cases had major associated anomalies, and three of these were on the VACTERL spectrum.…”

Section: Discussionmentioning

confidence: 99%

“…In the present report, we describe a case of isolated ARM and its progression from the first trimester. In addition, we review the literature of all reported cases of first trimester sonographic expression of ARM (Table ) . For this purpose, we applied a systematic search in PubMed, Web of Science and SCOPUS to identify relevant citations.…”

Section: Introductionmentioning

confidence: 99%

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First trimester expression of anorectal malformation: Case report and review of the literature

Liberty

Bardin

Gilboa

et al. 2018

J of Clinical Ultrasound

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A 26-years-old woman, underwent an ultrasound examination at 13.4 weeks. A cystic structure was identified in the right lower abdomen. Gradually, the cystic mass was replaced by echogenic content and eventually attained the appearance of hyperechoic bowel. At 21.2 weeks, the anal sphincter could not be demonstrated which was consistent with the diagnosis of isolated anal agenesis. Amniocentesis revealed 46XY karyotype with normal comparative genomic hybridization. After termination of pregnancy at 23 weeks, an autopsy revealed an isolated high type anorectal malformation (ARM) without fistula. We reviewed all 14 cases reported in the literature of first trimester sonographic expression of ARM.

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“…3 A recent review assessing the natural history of abdominal cysts diagnosed exclusively during the first trimester of pregnancy reported an overall good perinatal outcome for the majority of these lesions with high rates of pre or post-natal resolution. 4 However, prenatal counselling when an abdominal cyst is diagnosed during the second or third trimester of pregnancy is challenging; the evidence is sparse and mainly derived from small series. This is important as counselling for parents based on small studies that are subject to publication bias may be inadequate.…”

Section: Introductionmentioning

confidence: 99%

Outcome of fetal gastro‐intestinal cysts: a systematic review and meta‐analysis

et al. 2016

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Outcome of first‐trimester fetal abdominal cysts: cohort study and review of the literature

Abstract: Objectives

Cited by 27 publications

References 33 publications

Can Anorectal Atresia Be Diagnosed in the First Trimester of Pregnancy? A Systematic Literature Review

Can Anorectal Atresia Be Diagnosed in the First Trimester of Pregnancy? A Systematic Literature Review

First trimester expression of anorectal malformation: Case report and review of the literature

Outcome of fetal gastro‐intestinal cysts: a systematic review and meta‐analysis

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