Fetal adrenal haemorrhage--two-dimensional and three-dimensional imaging.
A case of prenatal adrenal haemorrhage first detected by 2-dimensional and 3-dimensional sonography at 27 weeks' gestation is reported. Ultrasound examination showed a large cystic mass (32 x 27 x 27 mm) in the right suprarenal region of the fetus. Two weeks later, the mass had slightly increased in size demonstrating hyperechoic areas within the cyst. Further serial ultrasound examinations revealed a progressive organisation of the cystic mass associated with a moderate reduction in size. The diagnosis of adrenal haemorrhage was confirmed by postnatal follow-up sonograms as the mass decreased in size from 28 x 21 x 21 mm on day 1 to 23 x 18 x 17 mm on day 42. Course and sonographic signs were typical for adrenal haemorrhage and the neonate was therefore managed without surgical exploration. The child is developing normally at 6 months of age.
Schrauder
M G
MG
Fetal Medicine Unit, Department of Obstetrics and Gynecology, University Hospital of Erlangen, Erlangen, Germany. Michael.Schrauder@gyn.imed.uni-erlangen.de
Hammersen
G
G
Siemer
J
J
Goecke
T W
TW
Meurer
B
B
Hart
N
N
Beckmann
M W
MW
Schild
R L
RL
D000307:Adrenal Gland Diseases / Q000000981:diagnostic imaging*; D000328:Adult; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging*; D006470:Hemorrhage / Q000000981:diagnostic imaging*; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods*; D007231:Infant, Newborn; D011247:Pregnancy; D016216:Ultrasonography, Prenatal / Q000379:methods*