Differentiating congenital ovarian cysts from other abdominal cystic lesions in female infants: A study by the Canadian Consortium for Research in Pediatric Surgery (CanCORPS)

The origin of congenital abdominal cysts in the female fetus often dictates management. While most arise from the ovary and are often managed non-operatively, some are non-ovarian and are frequently removed. We analyzed a national sample of female infants with congenital abdominal cysts to elucidate...

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Bibliographic Details
Published in:Journal of pediatric surgery 2022-05, Vol.57 (5), p.877-882
Main Authors: Safa, Nadia, Yanchar, Natalie, Puligandla, Pramod, Sewitch, Maida, Baird, Robert, Beaunoyer, Mona, Butter, Andreana, Campbell, Niamh, Chadha, Rati, Griffiths, Christopher, Jones, Sarah, Kaur, Manvinder, Le-Nguyen, Annie, Nasr, Ahmed, Piché, Nelson, Piper, Hannah, Prasil, Pascale, Romao, Rodrigo, VanHouwelingen, Lisa, Wales, Paul, Guadagno, Elena, Emil, Sherif, for the Canadian Consortium for Research in Pediatric Surgery (CanCORPS)
Format: Article
Language:English
Subjects:
Canada
Child
Cysts - diagnostic imaging
Cysts - surgery
Female
Fetal
Fetal Diseases - diagnosis
Humans
Infant
Intra-abdominal cyst
Neuroblastoma
Ovarian cyst
Ovarian Cysts - diagnostic imaging
Ovarian Cysts - surgery
Postnatal outcome
Pregnancy
Prenatal diagnosis
Prenatal ultrasound
Retrospective Studies
Ultrasonography, Prenatal
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Summary:The origin of congenital abdominal cysts in the female fetus often dictates management. While most arise from the ovary and are often managed non-operatively, some are non-ovarian and are frequently removed. We analyzed a national sample of female infants with congenital abdominal cysts to elucidate prenatal and postnatal factors associated with the diagnosis of a non-ovarian cyst. A retrospective cohort study of female infants who were prenatally diagnosed with abdominal cysts between 2013 and 2017 at 10 Canadian pediatric surgical centres was performed. Clinical characteristics, pre- and postnatal sonographic findings, and cyst trajectories were compared between patients with proven ovarian etiology and those with cysts arising from other organs. Of 185 infants with prenatally diagnosed abdominal cysts, 22 (12%) were non-ovarian, five of which had clear non-ovarian organ of origin on prenatal ultrasound. Comparison of the other 17 cysts with 163 congenital ovarian cysts showed the following factors to be associated with a non-ovarian origin: earlier gestational age at diagnosis (23.5 vs 33.5 weeks, p
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2021.12.043