Large Intra-abdominal Cyst Research Articles

Fetal Intra-abdominal Cyst: An Unusual Presentation

AbstractA 26-year-old woman with spontaneous conception had “low risk” result in first-trimester screening. At the time of anomaly scan a large intra-abdominal cyst was seen in the fetus. However, the exact origin of the cyst could not be confirmed. Serial monitoring of the cyst was done by ultrasound scan and the size of the cyst remained stable throughout the pregnancy. The mother had a cesarean section at 36 weeks for obstetric reason. Investigations on the newborn suggested choledochal cyst but the laparotomy revealed dilated duodenum with multiple atretic bowel loops. Ladd’s procedure was performed but the baby died postoperatively.

Further evidence of the etiology of prune belly syndrome provided by a transient massive intraabdominal cyst in a female

We present a female neonate born with prune belly syndrome (PBS) in whom a large intraabdominal cyst was diagnosed at 12weeks of gestation. Rapid and exponential growth of the cyst caused pressure effects on the intraabdominal organs and stretching of the anterior abdominal wall by 19weeks of gestation. This led to drainage of the massive cyst at 20weeks of gestation to prevent fetal demise. This case provides further clues to the likely etiology of PBS: transient stretching and attenuation of the fetal abdominal wall secondary to gross fetal abdominal distension – from any cause.

A case report of May–Thurner Syndrome associated with a large intra abdominal cyst

Introduction: May–Thurner Syndrome (MTS) usually presents with signs and symptoms of deep vein thrombosis or chronic venous insufficiency. We report the first case of MTS in a previously healthy adolescent female associated with a large intra-abdominal cyst arising from the right ovary. Case Report: The patient presented with signs and symptoms suggestive of deep vein thrombosis. Imaging confirmed extensive deep vein thromboses extending into the common iliac vein. Further imaging successfully diagnosed MTS and also identified a cyst arising from the right ovary. Catheter-directed thrombolysis followed by removal of the cyst and the right ovary was performed. Following re-thromboses few days later, the patient underwent further management with surgical thrombectomy with left common iliac vein stenting and IVC filter placement. Conclusion: The present case identifies an unusual presentation of a previously undiagnosed MTS in an adolescent female. In this case, anticoagulation alone was found to be ineffective and required the assistance of endovascular intervention.

Laparoscopic Excision of Large Intra-Abdominal Cysts in Children: Needle Hitch Technique.

Laparoscopic surgery has both diagnostic and therapeutic advantages in the management of intra-abdominal cysts in children. Large cysts in small children pose technical challenges during laparoscopic surgery, requiring multiple incisions and advanced laparoscopic skills. This paper describes a novel laparoscopic technique using minimal manipulation for both aspiration and excision of the cyst. This simple, safe, and effective approach was used to achieve traction and facilitate excision of a large intra-abdominal cyst in a neonate and a young child.

An atypical site of a retroperitoneal epidermoid cyst in a middle-aged woman

INTRODUCTIONRetroperitoneal cysts are rare, usually asymptomatic, abdominal lesions. Epidermoid cysts developing in this space usually occur in middle-aged women and are incidentally discovered in the presacral region during ultrasound examination. Occasionally, cysts may arise from splenic tissue or adrenal glands and develop above the presacral area. PRESENTATION OF CASEWe present the unusual location of a cyst in the retroperitoneal space in a 41-year-old woman admitted to hospital due to detection of a lesion in ultrasound imaging. A CT scan confirmed large intra-abdominal cyst. At operation, a large retroperitoneal thin-walled cyst with no evident arising point was discovered. Histologic analysis revealed epidermoid cyst. DISCUSSIONOur patient presented with giant retroperitoneal cyst extending from the subhepatic region to the uterine and bladder. To our knowledge, this unusual location in adult has not been previously reported in the literature. In our case the lesion was adjacent to inferior vena cava and mesenteric vessel which required special attention during preparation and was technically demanding. CONCLUSIONSurgery is the gold standard for the diagnosis and treatment of retroperitoneal epidermoid cysts. Successful treatment of benign retroperitoneal epidermoid cysts depends on appropriate diagnosis, careful operative technique, and adequate management of the underlying pathology.

Upper Abdominal Cysts in First Trimester Fetuses

Cystic abdominal structures in first trimester fetuses are rare. In order to elucidate the clinical significance of first trimester abdominal cysts, we present three cases of the ultrasonographic detection of upper abdominal cysts in first trimester fetuses with spontaneous regression until birth. Cysts with maximum diameters of 20, 15 and 21 mm were diagnosed in the first scan at 12 + 3 weeks of gestation and two times at 13 + 0 weeks of gestation, respectively. They had echogenic walls, a longish shape and were all located in the upper part of the abdomen. Further anomalies, relevant maternal infections, the most frequent cystic fibrosis mutations and fetal chromosomal abnormalities were excluded. In all three cases follow-up scans showed similar characteristics: The relatively large intraabdominal cyst resolved during the early second trimester. A hyperdense structure of up to 24 mm close to the liver capsule was the sole prenatally detectable remnant. During the first months after birth, development of all three children was normal. Pediatric ultrasound examination reported subcapsular liver calcifications. In conclusion, these cases demonstrate that first trimester upper abdominal cysts with spontaneous resolution until birth are associated with a favorable outcome, if infections and additional anatomical or chromosomal anomalies are ruled out. Nevertheless, one should be aware that postnatal gastrointestinal complications have been described in a few cases, even if the cyst had resolved spontaneously in utero.

PP-191. Barts syndrome with congenital pyloric atresia in a newborn mimicking a large intraabdominal cyst

PP-191. Barts syndrome with congenital pyloric atresia in a newborn mimicking a large intraabdominal cyst

Large calcified intra-abdominal mass in a newborn

A 33-week infant was born to a gravida eight mother with a poor obstetric history. A late second trimester scan had shown a large intra-abdominal cyst in the fetus and...

Laparoscopic management of antenatally-diagnosed abdominal cysts in newborns.

We report two newborns each detected to have a large intra-abdominal cyst on antenatal ultrasonography. Postnatal imaging confirmed presence of the cysts and showed a complex cyst with multiple septae in the first patient and evidence of bleeding in both. Laparoscopy performed on the 14th and 19th day of life, respectively, showed ovarian cysts with hemorrhage and torsion. The cysts were treated successfully by laparoscopic oopherectomy. Histopathology revealed an ovarian gonadoblastoma in the first patient and a simple cyst with calcification in the second. Both patients remain well at a follow up of six and four months. Laparoscopic treatment of antenatally detected cystic abdominal masses is a feasible option in the newborn.