* Femicare, s.r.o., Center of prenatal ultrasonographic diagnostics, Martin, Slovak Republic. UVN SNP Ruzomberok, Gynecological and obstetrical department. Catholic University in Ruzomberok, Faculty of Health Care, Ruzomberok, Slovak Republic;
** Haifa, Israel;
*** Gyntur, s.r.o. 9. mája 438/15, 03901 Turčianske Teplice, Slovak Republic.
A 30-year-old woman (G1P0), from a non-consanguineous couple and with no significant medical history was sent to our unit at 12 weeks, 2 days gestational age. She was negative for TORCH infections. Our ultrasound revealed a huge cystic structure within the fetal abdomen. There were normal nasal bones and normal thickness of the nuchal translucency. Initially we considered the cystic structure as a distended urinary bladder due to an outlet obstruction, but a few days later the small bladder with umbilical arteries passing around its walls was recognized lying below the cystic structure.
The patient was scanned again at 15 weeks, 6 days gestation and the structure had slightly decreased in size and was predominantly located in the right side of the abdomen.
Repeated scans performed between 19 and 25 weeks showed that the structure significantly decreased in size, leaving multiple calcifications among fetal bowels and within the liver. A small cyst was found within upper dome of the right hepatic lobe.
Later in pregnancy the cystic structure was no longer visible, but multiple bowel and hepatic calcifications were present.
The baby was delivered at 38 weeks (male, 2750 g, and 48 cm) with normal postnatal adaptation. Only a small hepatic cyst was found during the postnatal ultrasound. The baby was also diagnosed to have cryptorchidism. In a few weeks the abdominal findings were negative and the infant is doing well.