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KMID : 0358420160590030238
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Korean Journal of Obstetrics and Gynecology
2016 Volume.59 No. 3 p.238 ~ p.240
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Prenatal diagnosis of fetal adrenal hemorrhage and endocrinologic evaluation
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Shin Se-In
Yoo Ji-Geun
Park In-Yang
Cheon Ju-Young
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Abstract
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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.
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KEYWORD
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Fetal adrenal hemorrhage, Neuroblastoma, Three-dimensional ultrasound
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