P02.47: Sonographic detection of solitary hepatic cyst in utero

Abstract

After extensive counseling the parents opted for termination of the pregnancy. Post mortem examination confirmed the diagnosis. The diagnosis of diaphragmatic hernia is rarely made in the first trimester. Ultrasound diagnosis of the severest cases of congenital diaphragmatic hernia with early herniation of the viscera in the thorax is possible in the first trimester if fetal anatomy is routinely examined in a systematic way. Hallmarks of the diagnosis in the first trimester as well as in later pregnancy are the presence of the stomach, bowel or liver in the chest, the shift of the mediastinum and the displacement of the heart. P02.44Congenital diaphragmatic hernia in a Saudi population: a 5-year review S. Sultan, H. A. Wahbi King Abdulaziz Medical City, Saudi ArabiaObjectives: To study the incidence, the ultrasound findings, the associated anomalies and the outcome of congenital diaphragmatic hernia (CDH) in a Saudi population covered by the National Guard Hospital. Methods: A retrospective chart review of the antenatal records of all patients who were diagnosed as carrying a fetus with CDH from January 2000 to December 2005 was performed. Maternal demographic features, the ultrasound findings and the associated abnormalities and their frequencies, and the pregnancy outcome were reported. The incident was calculated per 10 000 births. Results: Thirty-two patients were identified. The incidence of CDH was 10 per 10 000 births, the stillbirth rate was 10%, early neonatal death was 17% and survival to surgery (7-10days) was 70%. CDH was in the left side of the chest in 80% of cases, in the right side in 13% and was bilateral in 7% of the cases. Liver was found in the chest in 10% of the fetuses. Associated cardiac anomalies were found in 34%, central nervous system (CNS) anomalies in 14% and chromosomal abnormalities in 10% of the cases. No patient had termination of pregnancy. Second-trimester miscarriage was reported in 1 patient. Conclusion:The incidence of CDH in this Saudi population is among the highest in the world this might be due to high incidence of intermarriages. CDH is associated with a favorable neonatal outcome to surgery, this might be due to the low incidence of chromosomal and CNS anomalies in this cohort and the association of correctable congenital heart anomalies. P02.45Our experience of ten years with nonimmune fetal ascites H. B. Ferreira, F. Taborda, A. S. Lacerda, S. Marta, R. Zulmira Hospital Geral de Santo António, PortugalObjective: The aim of this study on fetal ascites was to review the frequency of etiologic factors and, to analyze the precision of prenatal ultrasound scan in defining the cause and prognostic factors. Methods: We conducted a retrospective study of 24 cases of nonimmune fetal ascites, from our hospital, over a 10-year period, from 1994 to 2004. Results: Ascites is an infrequent anomaly that is encountered during prenatal life. Its prevalence is difficult to establish because reported series are small and biased by the recruitment. Fetal ascites corresponds to the pres...

Mesenchymal Hamartoma of Liver in a Neonate

“…[9,10]. Diagnosis of sub-hepatic cystic large pedicle (variant of MHL) before the surgery of can be difficult [4,[7][8][9][10][11][12][13]. Infection and relapse are common and occur followed by percutaneous drainage of the large cyst.…”