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Prenatal sonographic diagnosis of fetal adrenal gland hemorrhage
E Vollersen1, M Hof, U Gembruch
1Department of Obstetrics and Gynecology, Medical University of Lübeck, Germany.
Background:
In newborn the finding of adrenal gland hemorrhage is not uncommon. Only few cases of prenatal diagnosis of fetal adrenal bleeding by sonography have been reported.
Case:
In a 28-year-old nulliparous pregnant woman, routine sonography performed in 35 + 2 weeks of gestational age showed a cystic mass on the upper pole of the right kidney of a male fetus with normal biophysical profile and Doppler flow indices. Sonographic examination demonstrated a spontaneous remission within 3 weeks after uncomplicated vaginal delivery.
Conclusion:
In the management of adrenal gland hemorrhage of the fetus or newborn, control of remission by sonography is a sufficient tool for differentiation against other tumors and is helpful in preventing unintended surgical removal of the adrenal gland.