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Objectives: To assess the correlation between antenatally diagnosed intra-abdominal cysts and postnatal findings. Methods: It is a retrospective study. We have included all cases who were antenatally diagnosed with intra-abdominal cysts irrespective of gestational age. Antenatal data were collected including gestation at diagnosis, size, number and associated features of cysts. Results were compared with postnatal findings. Patients were identified from antenatal ultrasound databas viewpoint using searching term of intra-abdominal cyst between 01/01/2009 and 31/12/2018. 63 subjects were identified. Maternity database (E3) used also for data collection. Assessment of postnatal findings were through ultrasound and Badgernet neonatal database. Results: 95% had a normal booking scan with no cyst detected between 11 and 14 weeks of gestation. 53% of cases the cyst was detected in anomaly scan. Only in 2 cases the size of the cyst at the time of diagnosis was above 5cm. The cyst was simple, avascular, unilocular in 78% of cases. In about 70% of cases the intra-abdominal cyst was an isolated finding. An MRI was organised for 19% of cases. Amniocentesis was offered in 27% of cases. Fetal trisomy was diagnosed in one case. In 50 cases (79%) the prenatally established diagnosis was concordant with postnatal findings. Surgery was performed in 7 cases (11%) at birth. Conclusions: In 79% of cases the aetiology of fetal intra-abdominal cysts can be antenatally diagnosed. In 70% of cases a fetal abdominal cyst is an isolated finding. In most cases (84%) it is associated with a good perinatal outcome. VP09.15 Vaginal delivery for gastroschisis: worth the squeeze

BackgroundFetal conditions can pose significant challenges in the management of pregnancies complicated by pre-existing maternal medical conditions.Case presentationWe report a case of a 34-year-old woman with Stage IV Twin Twin Transfusion syndrome in the presence of maternal recurrent complex venous thromboembolic disease. Following a previous pregnancy loss, complicated by a third episode of thromboembolic disease, an inferior vena cava filter was placed. One month later, a pregnancy was confirmed and subsequently identified as a monochorionic twin pregnancy. Twin-Twin Transfusion syndrome was identified at 18 weeks’ gestation and progressed rapidly to Quintero Stage IV. In consultation with a multi-disciplinary international team, fetoscopic laser photocoagulation was performed. The pregnancy progressed to delivery of female infants at 33 weeks gestation, who have achieved all developmental milestones at 2 years of age.ConclusionsWe describe the multi-disciplinary effort to optimise the maternal condition to allow fetoscopic laser photocoagulation and continued management of the maternal and fetal conditions to a successful pregnancy outcome.

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