title: Prenatal diagnosis of fetal adrenal hemorrhage and endocrinologic evaluation.
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.
authors.affiliation: Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea.
authors.forename: Se In
authors.initials: SI
authors.lastname: Shin
authors.affiliation: Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea.
authors.forename: Ji Geun
authors.initials: JG
authors.lastname: Yoo
authors.affiliation: Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea.
authors.forename: In Yang
authors.initials: IY
authors.lastname: Park
authors.affiliation: Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea.
authors.forename: Ju Young
authors.identifier: 0000-0001-7899-7611
authors.initials: JY
authors.lastname: Cheon
keywords: Fetal adrenal hemorrhage; Neuroblastoma; Three-dimensional ultrasound