GI Duplications

Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "These are usually found in the retrorectal space and do not communicate with the urinary tract. Cystic rectal duplications must be distinguished from cystic sacrococcygeal teratoma, tailgut cyst, and an anterior meningocele. When associated with an anorectal malformation and sacral anomalies, the cyst may be part of the Currarino syndrome. Rarely, a rectal duplication cyst presents as rectal prolapse in an infant.

Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "Imaging is a critical aspect of preoperative preparation. The choice of imaging is dictated by the site of the duplication, clinical urgency, and the potential for associated anomalies. Isolated small bowel duplications often require no preoperative investigations other than abdominal sonography, a plain abdominal radiograph and routine blood tests. Occasionally, a technetium-99m pertechnetate radionuclide scan is helpful in detecting heterotopic gastric mucosa. In contrast, thoracoabdominal lesions demand detailed radiologic imaging of mediastinal, abdominal, and spinal compo…

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Fetal US identifies a 1.2 cm pelvic cyst in a female fetus at 21 weeks gestation. It remains stable for the remainder of the pregnancy and is still present on postnatal US at 7 weeks of age, measuring 1.8 cm. Baby is asymptomatic. US images are shown below. What do you recommend?

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Any one want a high quality PDF of this chart, post in this thread and use a personalized picture as an avatar, I will send it to you in a private message Edit: available without restrictions