title: Sonographic Diagnosis of Fetal Adrenal Hemorrhage Complicating a Vein of Galen Aneurysmal Malformation.
abstract: BACKGROUND
  The vein of Galen aneurysmal malformation (VGAM) is a rare intracranial vascular malformation which causes end-organ ischemia or venous congestion due to heart failure. Adrenal hemorrhage associated with VGAM has not been reported in the literature. We present the imaging findings of a fetal VGAM with adrenal hemorrhage.
  
  
  METHODS
  A 26 year-old primigravida woman whose fetus with VGAM and mild cardiomegaly was scanned in the 34th week. On fetal ultrasound, a hyperechoic, well-circumscribed mass in the left suprarenal region was shown. Fetal and postnatal magnetic resonance imaging confirmed the diagnosis of adrenal hemorrhage. The baby died after delivery.
  
  
  CONCLUSIONS
  Adrenal hemorrhage can complicate VGAM in fetuses with severe heart failure. Evaluation of the adrenal gland in affected cases may contribute to the prenatal counseling, and postnatal management.
authors.affiliation: Department of Obstetrics and Gynecology, Erciyes University Faculty of Medicine, Kayseri, Turkey.
authors.forename: Mehmet Serdar
authors.initials: MS
authors.lastname: Kütük
authors.affiliation: Department of Radiology, Division of Pediatric Radiology, Erciyes University Faculty of Medicine, Kayseri, Turkey.
authors.forename: Selim
authors.initials: S
authors.lastname: Doğanay
authors.affiliation: Department of Pediatrics, Division of Neonatalogy, Erciyes University Faculty of Medicine, Kayseri, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Özdemir
authors.affiliation: Department of Radiology, Division of Pediatric Radiology, Erciyes University Faculty of Medicine, Kayseri, Turkey.
authors.forename: Süreyya Burcu
authors.initials: SB
authors.lastname: Görkem
authors.affiliation: Department of Pediatrics, Division of Neonatalogy, Erciyes University Faculty of Medicine, Kayseri, Turkey.
authors.forename: Adnan
authors.initials: A
authors.lastname: Öztürk
keywords: Adrenal hemorrhage; fetal; ultrasound; vein of Galen aneurysmal malformation