Lee Weiyong, Lee Margaret Yw, Teo Harvey
Department of Diagnostic Radiology, Singapore General Hospital, Bukit Merah, Singapore.
Sengkang General Hospital Singapore, Sengkang, Singapore.
Ultrasound. 2021 Nov;29(4):241-251. doi: 10.1177/1742271X20984814. Epub 2021 Feb 17.
Ultrasound is used commonly to detect and diagnose intra-abdominal and pelvic cystic masses in the newborn as it is easily available, relatively low cost, and non-invasive. The diagnosis can be made or narrowed down by determining the location, size, sonographic features, organ involvement, and internal vascularity. The differential diagnoses include hydronephrosis, multicystic dysplastic kidney, adrenal haemorrhage, cystic teratomas, ovarian cysts, enteric cysts, meconium cysts, and liver haemangiomas. With the appropriate radiological knowledge, the ultrasound practitioner can help obtain an accurate diagnosis. This pictorial essay will familiarise the reader with the different common causes of intra-abdominal and pelvic masses detected on ultrasound through a wide range of conditions. The role of ultrasound in the evaluation of these conditions will be discussed and alternative imaging correlates will be offered.
超声因易于获得、成本相对较低且无创,常用于检测和诊断新生儿腹内及盆腔囊性肿块。通过确定肿块的位置、大小、超声特征、累及器官及内部血管情况,可作出诊断或缩小鉴别诊断范围。鉴别诊断包括肾积水、多囊性发育不良肾、肾上腺出血、囊性畸胎瘤、卵巢囊肿、肠囊肿、胎粪囊肿及肝血管瘤。具备适当的放射学知识后,超声检查医生可协助获得准确诊断。这篇图文并茂的文章将通过一系列病例,使读者熟悉超声检查发现的腹内及盆腔肿块的不同常见病因。文中将讨论超声在评估这些病症中的作用,并提供其他影像学相关信息。