We report a congenital splenic cyst that was revealed by prenatal sono
graphy at 31 weeks' gestation. Serial prenatal sonographic examination
s showed a slight enlargement of the cyst. However, sonography perform
ed when the infant was 7 months of age showed the cyst had spontaneous
ly and completely regressed. We recommend that practitioners adopt a m
ore conservative approach in such infants, one that includes follow-up
sonographic examinations, rather than instituting interventional trea
tment. (C) 1998 John Wiley & Sons, Inc.