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Prenatal sonographic detection of adrenal hemorrhage confirmed by postnatal surgery
Author(s) -
Fang ShiuhBin,
Lee HungChang,
Sheu JinCherng,
Lo ZunJen,
Wu BorLin
Publication year - 1999
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/(sici)1097-0096(199905)27:4<206::aid-jcu8>3.0.co;2-#
Subject(s) - medicine , adrenal hemorrhage , echogenicity , pregnancy , abdominal mass , lesion , adrenal gland , radiology , obstetrics , abdominal ultrasound , fetus , surgery , ultrasound , pathology , genetics , biology
We report a case of adrenal hemorrhage in a newborn first detected by sonography at a menstrual age of 21 weeks 4 days. An echogenic mass was noted above the right kidney. The mass became larger and hypoechoic on follow‐up sonograms after birth. The mass was also seen on abdominal CT. Because it was difficult to differentiate the lesion from cystic neuroblastoma and because it shrank only modestly by 2 months after birth, we performed a surgical exploration when the patient was 2 months old, and adrenal hemorrhage was confirmed. This case suggests that adrenal hemorrhage can occur as early as the second trimester of pregnancy. © 1999 John Wiley & Sons, Inc. J Clin Ultrasound 27:206–209, 1999.