How to treat an anechoic cyst in a 10-day-old baby?

Question

Hello doctor,

The baby was born ten days ago with a Weight of 6.12 pounds and has been having regular urination and stool. The baby looks healthy and takes milk regularly. A cyst was seen while conducting a growth scan on the mother in the seventh month.

After a scan of the baby after delivery, an anechoic cystic lesion measuring 1.33 x 0.98 inches was noted on the left side of the pelvis, to the left of the urinary bladder. No obvious internal septations or solid components within. It is a simple cyst.

Kindly suggest.

Answer 1

Hello,

Welcome to icliniq.com.

I have gone through the reports (attachment removed to protect the patient's identity) of your baby.

Although the scan page showing the description of the lesion is not visible, you have described it well enough. The water-filled bag (cyst) that is found inside can have its roots in one of the following organs: the small bowel mesentery, the ovary, or the omentum (rare at this age). To find that out, we will need further imaging with a CT (computed tomography) scan.

But, before jumping to do further tests, please let me know if the baby is having any symptoms like poor feeding, abdominal distension, not passing urine or stools on time, or vomiting. If the baby does not have any of these symptoms, there is no rush to do any tests at present, so we just wait and watch.

If the baby shows any of the above-mentioned symptoms, then we need to do a CT scan of the abdomen at that time, and the cyst might have to be surgically removed. If the baby has no symptoms, please repeat an ultrasound scan again at three months of age.

I hope this helps you.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com

That is good. So please get an ultrasound done at three months of age. If at any point in time the baby develops severe vomiting or abdominal distension, then get the test done on an SOS basis (whenever the symptoms are seen; in that case, please do not wait for three months to be completed).

I hope you find this useful.

Thank you.