Prenatal sonographic detection of adrenal hemorrhage confirmed by postnatal surgery
✍ Scribed by Fang, Shiuh-Bin; Lee, Hung-Chang; Sheu, Jin-Cherng; Lo, Zun-Jen; Wu, Bor-Lin
- Publisher
- John Wiley and Sons
- Year
- 1999
- Tongue
- English
- Weight
- 283 KB
- Volume
- 27
- Category
- Article
- ISSN
- 0091-2751
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✦ Synopsis
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.