대한초음파의학회 Korean Society of Ultrasound in Medicine

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[Pediatric [Ped]] 1 Days/F, Abdominal cyst was detected on prenatal ultrasound.
  • JIEUN PARK
  • 2026-01-25
Subspecialty Pediatric [Ped]
Classification Congenital
Difficulty For Student, For resident
Modality US
  • Axial view, There is a 2.93 x 2.4 cm -sized cyst in the right pelvic cavity.
  • Axial view
  • Sagittal view
퀴즈 응모 기간 2026-01-25 ~ 2026-02-09
Questions What's the diagnosis?
Answer
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ANSWER
Answer Intestinal duplication cyst
Comments Duplication cysts are rare congenital anomalies of the alimentary tract. The majority of duplication cysts are symptomatic within the first 2 years of life. Ultrasound of the abdomen shows a classical layered cyst wall with alternating hyperechoic and hypoechoic layers. This is known as the gut signature sign and is pathognomonic for alimentary tract duplication.
  • an inner hyperechoic epithelial lining containing the mucosa of the alimentary tract (wide arrow) and the outer hypoechoic layer of smooth muscle (white long arrow), closely attached to the gastrointestinal tract
References
Keywords Intestinal duplication cyst

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