Please clarify the lesion found in the ultrasound of my 18 week fetus.

Question

Hi doctor,

My ultrasound report showed well-defined anechoic lesion measuring 3.9 cm in length and 1.6 cm width in the lower abdomen of the 18 weeks fetus. No echoes are seen within it. It is showing peristalsis. Stomach and gall bladder visualized. No evidence of ascites. Abnormal wall intact. Kidneys and bladder appeared normal. Please clarify the lesion. I have attached the report for your reference.

Answer 1

Hello,

Welcome to icliniq.com. I have been through the report posted (attachment removed to protect patient identity). An anechoic lesion defines a lesion that is clear and simple that means, the cyst visualized is a simple cyst. There are some cysts like a mesenteric cyst, omental cyst or neuroblastoma ovarian cysts in female fetus and so on. Enteric duplication cyst, a rare congenital anomaly within the gastrointestinal tract, is suggested as the likely diagnosis due to observed peristaltic movements and their intra-abdominal location. Notably, no concurrent anomalies are associated. To preempt potential complications, a recommended course of action involves consistent monitoring and scheduling surgical excision subsequent to delivery.