Obstet Gynecol Sci.  2016 May;59(3):238-240. 10.5468/ogs.2016.59.3.238.

Prenatal diagnosis of fetal adrenal hemorrhage and endocrinologic evaluation

• Shin SI
• Yoo JG
• Park IY
• Cheon JY

• KMID: 2351791
• DOI: http://doi.org/10.5468/ogs.2016.59.3.238

Abstract

We present a case of a fetal adrenal hemorrhage, a rare disease in fetal life, detected prenatally at 36 weeks' gestation by ultrasound. Routine ultrasound examination at 36 weeks' gestation by primary obstetrician showed a cyst on the fetal suprarenal area. Initially, the suspected diagnosis was a fetal adrenal hemorrhage, but we should diagnose differently from neuroblastoma. Subsequent ultrasound examination at 38 and 39 weeks' gestation showed increase of the cyst in size. A 3.34-kg-male neonate was born by spontaneous vaginal delivery at 39 weeks' gestation. The diagnosis of adrenal hemorrhage was confirmed by postnatal follow-up sonograms and magnetic resonance imaging. Course and sonographic signs were typical for adrenal hemorrhage and the neonate was therefore managed without surgical exploration.

Keyword

Fetal adrenal hemorrhage; Neuroblastoma; Three-dimensional ultrasound

MeSH Terms

Diagnosis
Follow-Up Studies
Hemorrhage*
Humans
Infant, Newborn
Magnetic Resonance Imaging
Neuroblastoma
Pregnancy
Prenatal Diagnosis*
Rare Diseases
Ultrasonography

Figure

• 

  Fig. 1 Prenatal Power Doppler imaging at 39 weeks of gestational age showed an anechoic suprarenal cystic mass above the renal artery (white arrow). No flow can be seen whithin the mass.

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