Abstract
Aim: to determine the diagnostic value of individual echographic symptoms in abdominal cysts in newborns.Мaterials and Methods. The results of ultrasound examination of 65 newborns (the average age 15.93 ± 1.15 days) with intraabdominal cysts (IACs) diagnosed with echography from 2004 to 2016 are analyzed. Girls were 80% (52/65), boys – 20% (13/65). Results. 23 (35%) neonates had complicated ovarian cysts (OC) (antenatal torsion, necrosis of the cystic formation and ipsilateral ovary), in 16 (25%) cases uncomplicated OC were detected. In 14 (22%) cases enterocysts (8 girls, 6 boys) were detected, and mesenteric lymphangiomas (LAB) were diagnosed in 12 (18%) newborns (5 girls, 7 boys). The main echographic signs of various IACs were picked out.Conclusion. Ultrasonography is an informative method of diagnostics the IACs in newborns. The presence of parietal intraluminal cysts was typical for OC. In the case of uncomplicated OC anechogenous contents were noted. In the case of complicated OC heterogeneous content of various echostructure (debris, clots, septa and a networked structure of the content) took place. For the enterocysts a thick wall was typical and it’s variants of echographic representation were the gut-signature (double wall sign), layered structure of the wall and Y-configuration of the cyst wall. LAB were characterized by irregular shape, thin wall and anechogenous content, less often the disperse component and thin septa in the lumen were determined. The networked structure of the contents was detected at various nosological forms (complicated OC, LAB and delimited peritonitis typical for severe enterocolitis) and required careful diagnostics of the totality of all detected echographic symptoms.
Highlights
Ultrasonography is an informative method of diagnostics the intraabdominal cysts (IACs) in newborns
The presence of parietal intraluminal cysts was typical for ovarian cysts (OC)
LAB were characterized by irregular shape, thin wall and anechogenous content, less often the disperse component and thin septa in the lumen were determined
Summary
Цель исследования: определить диагностическую ценность отдельных эхографических симптомов при кистозных образованиях брюшной полости у новорожденных. Проанализированы результаты ультразвукового исследования 65 новорожденных (средний возраст 15,93 ± 1,15 сут) с эхографически диагностированными кистозными образованиями брюшной полости в период с 2004 по 2016 г. В 14 (22%) случаях определяли энтерокисты (8 девочек, 6 мальчиков), у 12 (18%) новорожденных (5 девочек, 7 мальчиков) были диагностированы лимфангиомы брыжейки. Выделены основные эхографические симптомы различных кистозных образований брюшной полости. Ультразвуковое исследование является информативным методом диагностики кистозных образований брюшной полости у новорожденных. Для кист яичников было типичным наличие пристеночных внутрипросветных кист. Сетчатая структура содержимого выявлялась при различных нозологических формах (осложненные кисты яичников; лимфангиомы брыжейки; отграниченный перитонит, типичный для тяжелого течения энтероколита) и требовала тщательной дифференциальной диагностики совокупности всех выявленных эхографических симптомов. Эхографическая семиотика кистозных образований брюшной полости у новорожденных. Aim: to determine the diagnostic value of individual echographic symptoms in abdominal cysts in newborns
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