Two‐ and three‐dimensional prenatal sonographic diagnosis of hepatic cysts

Wax, Joseph R.; Grimes, Charles K.; Blackstone, Jacquelyn; Pinette, Michael G.; Cartin, Angelina

doi:10.1002/jcu.20494

Cited by 5 publications

(3 citation statements)

References 11 publications

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“…Exophytic simple hepatic cysts may mimic choledochal cysts and cystic biliary atresia; however hepatic cysts typically present with a normal gallbladder and normal size of the bile ducts and do not connect with the biliary tree. Hepatic cysts are usually not associated with other congenital anomalies [49][50][51][52]. They tend to remain stable in size or regress over time.…”

Section: A C C E P T E D a R T I C L Ementioning

confidence: 99%

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Approach to the postnatal sonographic evaluation of prenatally detected abdominopelvic cysts

Muthee

Bray

2022

Ultrasonography

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Prenatally detected abdominal and pelvic masses are commonly cystic in morphology and usually seen at mid-trimester sonography. Sonography is the favored imaging modality for postnatal evaluation of these lesions in newborns, given the availability, low cost, lack of ionizing radiation, lack of sedation, and high spatial resolution in small patients. The differential diagnosis of abdominopelvic cystic masses in the newborn is broad given that they can arise from many organs and may have overlapping features on imaging. This article illustrates an approach to the postnatal sonographic evaluation of prenatally detected cystic abdominal and pelvic masses based on their anatomic location as well as distinctive sonographic characteristics, which can aid in accurate diagnosis and guide appropriate management.

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Section: A C C E P T E D a R T I C L Ementioning

confidence: 99%

“…They may also occur after obstruction of the peribiliary glands, either from a congenital malformation or another disease process [ 48 , 49 ]. There is no lobar propensity and only a slight female predominance [ 48 - 50 ].…”

Section: Porta Hepatis and Hepatic Cystic Massesmentioning

confidence: 99%

Approach to the postnatal sonographic evaluation of prenatally detected abdominopelvic cysts

Muthee

Bray

2022

Ultrasonography

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“…Intrahepatic meconium pseudocysts may be considered in the appropriate clinical context and appear as multiple complex intrahepatic cysts (64). Finally, simple hepatic cysts and arteriovenous malformations and fistulas have the expected US characteristics (65).…”

Section: Benign and Malignant Fetal Hepatic Tumorsmentioning

confidence: 99%

Fetal Hepatomegaly: Causes and Associations

Jensen

Patel

et al. 2020

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Fetal hepatomegaly is associated with significant fetal morbidity and mortality. However, hepatomegaly might be overlooked when numerous other fetal anomalies are present, or it might not be noticed when it is an isolated entity. As the largest solid organ in the abdomen, the liver can be seen well with US or MRI, and the normal imaging characteristics are well described. The length of the fetal liver, which can be used to identify hepatomegaly, can be determined by measuring the liver from the diaphragm to the tip of the right lobe in the sagittal plane. Fetal hepatomegaly is seen with infection, transient abnormal myelopoiesis, liver storage and deposition diseases, some syndromes, large liver tumors, biliary atresia, and anemia. Some of these diagnoses are treatable during the fetal period. Attention to the associated findings and specific hepatic and nonhepatic imaging characteristics can help facilitate more accurate diagnoses and appropriate patient counseling. © RSNA, 2020 • radiographics.rsna.org

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Prenatal ultrasound and Doppler findings of progressing portal hypertension in a fetus with congenital cystic hepatobiliary disease

Seravalli

Millard

Kearney

et al. 2015

Ultrasound Obstet Gynecol

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Prenatal ultrasound and Doppler findings of progressing portal hypertension in a fetus with congenital cystic hepatobiliary diseaseA 37-year-old woman, gravida 3 para 0, was referred at 24 + 5 weeks' gestation for suspected fetal ascites. On examination, ascites and hepatomegaly with multiple subcapsular hepatic cysts were noted (Figure 1). The brain, kidneys and lungs, and the hepatic vasculature, umbilical artery (UA), middle cerebral artery (MCA), umbilical vein (UV) and ductus venosus flow velocity waveforms were all normal. Fetal magnetic resonance imaging confirmed the findings and raised concern for hepatic cystic dysplasia with cirrhosis. A diagnostic amniocentesis and fetal paracentesis revealed the predominance of lymphocytes and monocytes in the ascites, normal karyotype, normal microarray analysis and negative viral polymerase chain reaction studies. On follow-up, hepatomegaly and cyst numbers had increased; at 30 weeks' gestation, maternal

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Two‐ and three‐dimensional prenatal sonographic diagnosis of hepatic cysts

Cited by 5 publications

References 11 publications

Approach to the postnatal sonographic evaluation of prenatally detected abdominopelvic cysts

Approach to the postnatal sonographic evaluation of prenatally detected abdominopelvic cysts

Fetal Hepatomegaly: Causes and Associations

Prenatal ultrasound and Doppler findings of progressing portal hypertension in a fetus with congenital cystic hepatobiliary disease

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