1. Prenatal ultrasonic diagnosis and outcome of congenital dacryocystocele
Yixiu ZHANG ; Yuansheng WANG ; Qunni LAMU ; Hua MENG ; Qing DAI ; Zhonghui XU ; Jia LU ; Yunshu OUYANG ; Xining WU ; Yuxin JIANG ; Ji DE ; Yuzhen NIMA
Chinese Journal of Ultrasonography 2018;27(6):520-523
Objective:
To explore the value of prenatal ultrasound in diagnosis of congenital dacryocystocele.
Methods:
The ultrasonographic features of 16 fetuses with congenital dacryocystocele were retrospectively reviewed and the outcome of pregnancy were followed up.
Results:
The median gestational week detected with prenatal ultrasound was 30.29 weeks, the mean diameter was (8.96±1.96)mm. Congenital dacryocystoceles were unilateral in 12 fetuses and bilateral in 4 fetuses, 10 were female and 6 were male. The typical ultrasonic feature was anechoic cystic mass with clear boundary in relation to the medial and inferior aspects of the fetal orbit. The dacryocystocele resolved spontaneously prenatally in 5 fetuses, resolved spontaneously after delivery in 10 fetuses. One fetus died in caesarean section due to complete placenta previa.
Conclusions
Congenital dacryocystitis has its characteristic ultrasonographic features, and most cases can disappear naturally in prenatal or early newborns.
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