Prenatal Sonographic Diagnosis of a Pericardial Cyst

Park, Min-Young; Kim, Gwang Jun

doi:10.7863/ultra.34.4.739

Cited by 8 publications

(6 citation statements)

References 10 publications

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“…Therefore, these lesions should be considered part of the differential diagnosis whenever a cystic mass is identified in the fetal chest. The prenatally diagnosed pericardial cysts reported to date were located adjacent to the heart borders and not typically in the posterior mediastinum . Three resolved prior to birth, and two did not change in size .…”

Section: Discussionmentioning

confidence: 88%

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The ultrasound appearance of an unusual fetal pericardial cyst

Ranzini

Shakir

Nadaraj

et al. 2017

J of Clinical Ultrasound

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Section: Discussionmentioning

confidence: 88%

“…The prenatally diagnosed pericardial cysts reported to date were located adjacent to the heart borders and not typically in the posterior mediastinum. 1,[5][6][7] Three resolved prior to birth, 1 and two did not change in size. 5,6 One presented with tachycardia that resolved after birth.…”

Section: Discussionmentioning

confidence: 99%

The ultrasound appearance of an unusual fetal pericardial cyst

Ranzini

Shakir

Nadaraj

et al. 2017

J of Clinical Ultrasound

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“…[10] There are reports in the literature of fetal pericardial cysts with suture-like pericardial effusion visible on both sides. [8] The reported cases of fetal pericardial cyst diagnosed by prenatal ultrasound to date are usually not combined with other anomalies and abnormal signs, and only a few cases of fetal tachycardia have been reported, but the symptoms disappear after birth. [8,10,12,13] Follow-up is recommended for asymptomatic lesions in the neonatal Surgical intervention is recommended only when symptoms appear in the fetal or neonatal period or the cyst increases rapidly and ruptures.…”

Section: Discussionmentioning

confidence: 99%

“…In addition to pericardial cysts, cystic lesions near the fetal heart can also be bronchial cysts, lymphangioma, neural tube gastrulation cysts, and localized pericardial effusion. [8] These lesions should therefore be part of the differential diagnosis of fetal pericardial cysts. Mediastinal bronchial cysts are usually small, located near the carina between the trachea and esophagus, and can cause respiratory distress in the fetus after birth.…”

Section: Discussionmentioning

confidence: 99%

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Prenatal ultrasound diagnosis of fetal giant pericardial cyst: A case report

et al. 2023

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Rationale: We describe 1 case of fetal giant pericardial cyst was diagnosed by fetal echocardiography in the second trimester, and the changes of the cyst were recorded by follow-up observation in the late trimester and after birth. We then review and discuss the knowledge about its diagnosis and treatment. Patient concerns: A 34-year-old pregnant woman was referred to our hospital because of a diagnosis of a fetal pericardial effusion at 22 5/7 weeks at another hospital. Diagnosis: Fetal echocardiography revealed an irregular anechoic area in the right side of the fetal right atrium and right ventricle that was closely related to but not communicated with the pericardiumis and suggested fetal pericardial cyst. Fetal cardiothoracic magnetic resonance imaging showed cystic FIESTA signal in the right lung region, with clear boundary, and a seemingly line-like low signal shadow within. Interventions: Since fetal pericardial cysts keep decreasing in size during maternal pregnancy, follow-up observation measures are taken. Outcomes: Fetal pericardial cysts disappear on their own 4 months after delivery. Lessons: Asymptomatic pericardial cysts in the fetal period can be followed up and observed, and intervention is performed only when the cyst rapidly enlarges or ruptures and becomes infected in the fetal or neonatal period. Echocardiography can be used as a first-line detection method for their initial detection and follow-up.

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