scholarly journals VP11.06: First trimester abdominal cyst: an early sonographic sign of anorectal atresia

2021 ◽  
Vol 58 (S1) ◽  
pp. 138-138
Author(s):  
T. Fanelli ◽  
N. Volpe ◽  
V. De Robertis ◽  
G. Rembouskos ◽  
A. Di Tonto ◽  
...  
Keyword(s):  
First Trimester ◽  
Anorectal Atresia ◽  
Sonographic Sign ◽  
Abdominal Cyst

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

Medicina ◽  
2020 ◽  
Vol 56 (11) ◽  
pp. 583
Author(s):  
Liana Ples ◽  
Radu Chicea ◽  
Mircea-Octavian Poenaru ◽  
Adrian Neacsu ◽  
Romina Marina Sima ◽  
...  
Keyword(s):  
Literature Review ◽  
Systematic Literature Review ◽  
First Trimester ◽  
Vitro Fertilization ◽  
Detailed Evaluation ◽  
First Trimester Of Pregnancy ◽  
Anorectal Atresia ◽  
Abdominal Cyst ◽  
First Trimester Scan

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.

scholarly journals Fetal Sirenomelia Associated with an Abdominal Cyst Originating from a Saccular Cloaca

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Yui Kinjo ◽  
Hitoshi Masamoto ◽  
Hayase Nitta ◽  
Tadatsugu Kinjo ◽  
Tomoko Tamaki ◽  
...  
Keyword(s):  
Umbilical Artery ◽  
Color Doppler ◽  
Abdominal Cavity ◽  
External Genitalia ◽  
Duodenal Atresia ◽  
Lower Limbs ◽  
Single Umbilical Artery ◽  
Normal Bladder ◽  
Anorectal Atresia ◽  
Abdominal Cyst

A 40-year-old pregnant woman presented with a fetal abdominal cyst and oligohydramnios. Color Doppler scan revealed a single blood vessel from the fetal aorta into a single umbilical artery. Severe oligohydramnios limited ultrasonographic evaluation of the fetal lower limbs, kidneys, or bladder. The pregnancy was terminated; the fetus showed fused lower limbs, bulging abdomen, and absent external genitalia and was diagnosed with type III sirenomelia. On autopsy, no normal bladder was observed, but duodenal atresia, anorectal atresia, and right renal agenesis were found. An intra-abdominal cyst, diagnosed histologically as a saccular cloaca, occupied the abdominal cavity. Ultrasonographic diagnosis of fetal sirenomelia is difficult due to poor depiction of the lower limbs. A vitelline artery leading to a single umbilical artery and a fetal abdominal cyst occupying most of the abdominal cavity are considered fetal sirenomelia associated with large defects of the gastrointestinal and genitourinary tracts.

scholarly journals GIANT OVARIAN CYST IN PREGNANCY

2016 ◽  
Vol 3 (1) ◽  
pp. 23-28
Author(s):  
G. Radu ◽  
Nicoleta Prună ◽  
S. Prună ◽  
Mirela Moarcăș ◽  
Adriana Andrei ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Correct Diagnosis ◽  
First Trimester ◽  
Maximum Diameter ◽  
Abdominal Mri ◽  
Giant Tumor ◽  
Adnexal Tumors ◽  
Abdominal Cyst ◽  
In Pregnancy

Before the use of ultrasound, many ovarian tumors remained undiagnosed until cesarean section oruntil they became symptomatic. Now, many symptomatic or non-symptomatic adnexal tumors arediagnosed by ultrasound during pregnancy follow-up.In most cases, the adnexal tumors discoveredduring pregnancy are benign with a maximum diameter of 5 cm. Approximately 70% of the cysticadnexal tumors identified in the first trimester resorb spontaneously until the beginning of thesecond trimester (usually those are functional cysts). Persistent adnexal tumors larger than 5 cmare generally mature teratomas (dermoid).In this case, at the emergency room a 34 year-old-women came with almost 20 weeks pregnancy, accusing acute abdominal pain, nausea andvomiting. One week before, the patient went for a routine ultrasound for pregnancy and the doctordiscovered a giant tumor larger than 15 cm (due to the size it could not be measured) with fluidcontent. Two days before the symptoms, the patient went for an abdominal MRI where a voluminouspelvic-abdominal cyst with almost 30 cm in diameter was discovered. Differential diagnosis:ovarian torsion or ruptured cyst complicating pregnancy. What is the correct diagnosis and what isto be done since there is a 20 weeks pregnancy?

First trimester prenatal diagnosis of anorectal atresia: report of three new cases

2019 ◽  
Author(s):  
I.V. Novikova, O.A. Tarletskaya, N.A. Venchikova et all
Keyword(s):  
Prenatal Diagnosis ◽  
First Trimester ◽  
Vacterl Association ◽  
Anal Atresia ◽  
Anorectal Atresia ◽  
Variable Presentation

Three new cases of anal atresia at 11 weeks of gestation are presented. Two cases were in association with no classified complex of multiple malformations and VACTERL association and one case was accompanied with ileocecal stenosis. Anorectal atresia may have a variable presentation which depends on the associated renal and bowel anomalies.

First trimester sonographic features of anorectal atresia: report of two cases

2011 ◽  
pp. n/a-n/a ◽  
Author(s):  
Irina Novikova ◽  
Irina Solovyeva ◽  
Ludmila Lishtvan ◽  
Natalia Venchikova ◽  
Tatsiana Plevako
Keyword(s):  
First Trimester ◽  
Anorectal Atresia

Chromosomal abnormalities in the first-trimester fetuses with abdominal cysts

2020 ◽  
pp. 51-52
Author(s):  
И.В. Новикова ◽  
Н.А. Венчикова
Keyword(s):  
Urinary Tract ◽  
Choledochal Cyst ◽  
Diaphragmatic Hernia ◽  
Lower Urinary Tract ◽  
Chromosomal Abnormalities ◽  
First Trimester ◽  
Final Diagnosis ◽  
Morphological Examination ◽  
Anorectal Atresia ◽  
Lower Urinary

Проведено изучение частоты и спектра хромосомных аномалий (ХА) у 76 плодов при кистозных образованиях брюшной полости и малого таза, выявленных при пренатальном скрининге в I триместре беременности. Спектр патологических образований составили киста холедоха, атрезии двенадцатиперстной и прямой кишки/ануса, дисгенезия клоаки и мегацистис. Наряду с атрезиями желудочно-кишечного тракта и мочевых путей, в I триместре выявляются и другие патологические состояния: гетеротаксия и правосторонняя диафрагмальная грыжа. Частота ХА при выявлении у плода кистозных образований брюшной полости и малого таза в ранние сроки беременности в среднем составляет 23,7%. First-trimester aborted fetuses with abdominal cysts (n=76) have been examined at anatomic-pathological investigation. A final diagnosis included choledochal cyst, duodenal and anorectal atresia, cloacal disgenesis syndrome and megacystis. Besides gastrointestinal atresia and lower urinary tract obstructions heterotaxy and diaphragmatic hernia have been revealed at morphological examination. In total 23,7% of fetal abdominal cysts in the first trimester of gestation were associated with chromosomal abnormalities.

A case of prenatal diagnosis of anorectal atresia in the first trimester in Astrakhan

2017 ◽  
Author(s):  
E.V. Lakomskaya, V.N. Gryashchenko, O.S. Gundareva
Keyword(s):  
Prenatal Diagnosis ◽  
First Trimester ◽  
Prenatal Ultrasound ◽  
Ultrasound Diagnosis ◽  
Anorectal Atresia

A case of prenatal ultrasound diagnosis of anorectal atresia in the first trimester is presented. The prenatal ultrasound diagnosis is confirmed after birth.

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