Prenatal diagnosis of fetal adrenal hemorrhage and endocrinologic evaluation.
10.5468/ogs.2016.59.3.238
- Author:
Se In SHIN
1
;
Ji Geun YOO
;
In Yang PARK
;
Ju Young CHEON
Author Information
1. Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea. ch1000@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Fetal adrenal hemorrhage;
Neuroblastoma;
Three-dimensional ultrasound
- MeSH:
Diagnosis;
Follow-Up Studies;
Hemorrhage*;
Humans;
Infant, Newborn;
Magnetic Resonance Imaging;
Neuroblastoma;
Pregnancy;
Prenatal Diagnosis*;
Rare Diseases;
Ultrasonography
- From:Obstetrics & Gynecology Science
2016;59(3):238-240
- CountryRepublic of Korea
- Language:English
-
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.
