ISSN : 2146-3123
E-ISSN : 2146-3131

Sonographic Diagnosis of Fetal Adrenal Hemorrhage Complicating a Vein of Galen Aneurysmal Malformation
Mehmet Serdar Kütük 1, Selim Doğanay 2, Süreyya Burcu Görkem 2, Ahmet Özdemir 3, Adnan Öztürk 3
1Department of Obstetrics and Gynecology, Erciyes University Faculty of Medicine, Kayseri, Turkey
2Department of Radiology, Division of Pediatric Radiology, Erciyes University Faculty of Medicine, Kayseri, Turkey
3Department of Pediatrics, Division of Neonatalogy, Erciyes University Faculty of Medicine, Kayseri, Turkey
DOI : 10.5152/balkanmedj.2015.151118

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.

Case Report: 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.

Conclusion: 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.

Keywords : Adrenal hemorrhage, fetal, ultrasound, vein of Galen aneurysmal malformation
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