Ruiz-Labarta FJ, Pérez-Fernández R, Gámez-Alderete F, Pintado-Recarte MP, Hernández-Martín C, de León-Luis J

Language: Spanish
References: 19
Page: 602-607
PDF size: 247.04 Kb.

ABSTRACT

Congenital splenic cysts are rare entities wich are not frequently diagnosed in prenatal sonographies and there is only a few literature wich report these medical cases. The aim of this article is to introduce this sonographic discovery and study whether there are impacts for the newborn, association with cormosomopathy or fetal pathology. We describe two medical cases of fetal splenic cysts wich were diagnosed in our service by ultrasonography at 29 and 32 weeks of gestation, their antenatal monitoring and postnatal evolution. Besides theses, it is made a review of this entity in medical literature, examination about the: etiology, prenatal diagnosis, prenatal and postnatal following and complications. In conclusion, the congenital splenic cyst has a good prognosis with an spontaneous postnatal resolution in the majority of the cases. No association was observed between cromosopathy or fetal pathology with the examined cases.

REFERENCES

1. Lopes MAB, Ruano R, Bunduki V, Miyadahira S, Zugaib M. Prenatal diagnosis and follow up of congenital splenic cyst: a case report. J. Ultrasound Obstet Gynecol 2001;17:439-441.

2. Moore KL, Persaud TVN. Embriología Clínica. El desarrollo del ser humano. 7ª ed. Madrid: Elsevier, 2004;266.

3. Karen H, Shannon A. Congenital Splenic Cyst: a rare prenatal finding. J Diagnos Med Sonograph 2010; 26:79-82.

4. Lichman JP, Miller EI. Prenatal ultrasonic diagnosis of splenic cyst. J Ultrasound Med 1998;7:637-638.

5. Okada M, Hata T, Ariyuki Y, Manabe A, Hata K, Kitao M. Fetal splenic cyst: change in size and shape with advancing menstrual age. J Clin Ultrasound 1995;23:204-206.

6. Garel C, Hassan F. Foetal and neonatal splenic cyst-like lesions: US follow-up of seven cases. Pediatr Radiol 1995;25:360-362.

7. Gómez D, Castro T, González P, López C. Diagnóstico prenatal de un quiste esplénico fetal mediante ultrasonografía 4D. Prog Obstet Ginecol 2006;49:394-397.

8. Cuillier F, Lemaire P, Bideault J, Bertha A. Congenital aplenic cysts: report of four cases. http://www.thefetus.net/ page.php?id=2340. Consultado el 15 de febrero de 2013.

9. Lipinski T, Hamela A, Dangel JH, Bokiniec R, Czajkowski K. Difficulties in differential diagnosis of the cyst in the left upper abdomen of the fetus. Ultrasound in Obstetrics and Gynecology 2004;24:269-372.

10. Catarina A, Recamán M, Teixeira F, Ribeiro J. Diagnóstico prenatal y seguimiento del quiste esplénico. An Pediatr (Barc) 2006;64:492-495.

11. Martin JW. Congenital splenic cysts. Am J Surg 1958;96:302-308.

12. Dankovcik R, Urdzik P, Lazar I, Gresova A, Radonak J, Jirasek JE, Kucera E, Feyereisl J, Dudas M. Conservative Management in three Cases of Prenatally Recognized Splenic Cyst Using 2D, 3D, Multi-Slice and Doppler Ultrasonography. Fetal Diagn Ther 2009;26:177-180.

13. Kabra NS, Bowen JR. Congenital splenic cyst: a case report and review of literatura. J Paediatr Child Health 2001;37:400-402.

14. Yilmazer YC, Erden A. Complete regression of a congenital splenic cyst. J Clin Ultrasound 1998;26:223-224.

15. Saada J, Parant O, Kessler S, Aziza J, Sarramon M. Prenatal diagnosis and outcome of congenital splenic cyst: report of two cases. Prenat Diagn 2006;26:9-10.

16. Chen I, Tsai C, Yang S, Liu C, Hsu T, Huang H. Spontaneous regression of congenital splenic cyst in a neonate. Clin Pediatr 2007;46:73-75.

17. Barnusel JB, Santonja EM, Bernades JP, Fuster RP, Gener RT. Diagnóstico prenatal de un quiste esplénico. An Esp Pediatr 1990;32:361-362.

18. Venkataraman D. Fetal splenic cyst: antenatal diagnosis and outcome. BMJ Case Rep 2009;2009:bcr09,2008.0843.

19. Stiller RJ, de Regt RH, Choy OG. Antenatal diagnosis of fetal splenic cyst. A case report. J Reprod Med 1991;36:320- 322.