Prenatal diagnosis of fetal adrenal hemorrhage and endocrinologic evaluation

Shin, Se In; Yoo, Ji Geun; Park, In Yang; Cheon, Ju Young

doi:10.5468/ogs.2016.59.3.238

Cited by 11 publications

(12 citation statements)

References 13 publications

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“…[ 3 ] The main differential diagnosis of suprarenal masses in the fetus and neonate is congenital neuroblastoma, lung sequestrations, adrenal hemorrhage, mesoblastic nephroma, and duplications of the urinary or intestinal tract. [ 1 ] However, neuroblastoma is the most important differential requiring immediate attention due to its notorious extension, need for urgent therapy, and prognostic implications.…”

Section: Discussionmentioning

confidence: 99%

“…Risk factors associated with adrenal hemorrhage in utero include maternal hypertension, maternal diabetes, Beckwith–Wiedemann syndrome, asphyxia, shock, infections, thrombosis of inferior vena cava and left renal vein, and hemorrhagic disorders. [ 1 2 ] Although neonatal hemorrhage is common, accounting for 1.7–2.1 per thousand births, the incidence of antenatal hemorrhage is not elicited in any study and is rarely picked up in antenatal sonography. [ 3 ] Sonographic appearance can range from simply bulky echogenic adrenals to completely cystic lesion.…”

Section: Introductionmentioning

confidence: 99%

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A rare case report of bilateral complex macrocystic adrenal hemorrhage mimicking fetal neuroblastoma

Sindhwani

Patel

Jain

2018

J Indian Assoc Pediatr Surg

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A rare case report of bilateral complex macrocystic adrenal hemorrhage mimicking fetal neuroblastoma

Sindhwani

Patel

Jain

2018

J Indian Assoc Pediatr Surg

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“…Elevated levels of amniotic fluid catecholamines support the diagnosis since these tumors usually produce and secrete catecholamines. (4) Adrenal hemorrhage [ 53 , 54 , 55 , 56 ]: the mass has heterogeneous echoes with a poorly-defined border. Color flow mapping shows no flow in the mass.…”

Section: Discussionmentioning

confidence: 99%

Prenatal Course and Sonographic Features of Congenital Mesoblastic Nephroma

et al. 2022

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Background: Congenital mesoblastic nephroma (CMN) is the most common renal tumor among fetuses and infants before the age of 6 months. It usually behaves as a benign tumor. The prenatal features and outcomes of pregnancies with fetal CMN have never been systematically reviewed and analyzed, whereas neonatal or pediatric series have been published several times. The aims of this study are to (1) describe the prenatal natural course and prenatal sonographic char-acteristics of CMN; (2) determine the outcomes of pregnancies with fetal CMN; and (3) demonstrate typical sonographic images together with video clips of prenatal CMN, as an educational example based on our index case presented here. Methods: Studies focused on fetal CMN, including those consecutively published on PubMed from 1980 to June 2022 as well as the index case presented here, were identified and validated to perform a systematic review. The data of fetal imaging and the prenatal course of pregnancies were extracted for analysis. Results: The findings derived from 41 cases of review are as follows: (1) No single case has been diagnosed in the first half of pregnancy. No cases were detected during routine anomaly screening at mid-pregnancy. All cases were de-tected in the third trimester or late second trimester. (2) Polyhydramnios is very common and is the first clinical manifestation in most cases, leading to detailed ultrasound in the second half of pregnancy. (3) Preterm birth and low birth weight are the most common adverse pregnancy out-comes, resulting in neonatal morbidity. (4) Hydrops fetalis, though relatively rare, can be associated with CMN and is a grave sign. (5) Prenatal diagnosis is essential since it is critical for the antenatal plan, comprising either referral to a tertiary care center or proper surveillance to prevent serious obstetric complications, especially preterm birth. (6) Ultrasound is the primary tool for prenatal diagnosis of CMN, whereas MRI can be used as an adjunct if some other tumors are suspicious or sonographic features are not typical for CMN. Conclusion: In contrast to CMN in neonates, fetal CMN is much more serious since it significantly impacts adverse pregnancy outcomes and perinatal morbidity and mortality. The typical prenatal course and the sonographic features of CMN are described.

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“…E tünetek és laboreltérések azonban csak mindkét mellékvese állományának több mint 90%-os pusztulása következtében alakulnak ki. Kisebb mértékű nekrózis esetén csökkent kortizol-és emelkedett ACTH-, valamint reninaktivitás ellenére klinikai elváltozások nem mutatkoznak [23]. A mellékvese regenerációs képessége jó.…”

Section: áBraunclassified

Méhen belül felszívódó magzati mellékvesevérzés ultrahang-diagnózisa

et al. 2019

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The confirmed incidence of new-onset adrenal gland hemorrhage has increased with the development of ultrasound diagnostics in recent years. Intrauterine developed cases are rarely recognized. Differential diagnosis of cystic lesions of the adrenal gland is often only possible after birth. In our case study, we report the ultrasonographic diagnosis and follow-up of a cystic lesion measuring 4 × 3 cm in the left fetal epigastrium in the 33rd gestational week. During pregnancy, multimodal imaging methods (both ultrasound and magnetic resonance) have confirmed the diagnosis of hemorrhage in the left adrenal gland. In the 37th gestational week, the hematoma completely resolved. At term, a 4150 gram neonate was delivered in good condition by an elective cesarean section. Postnatal endocrinological and follow-up ultrasound examinations did not find any disorder. This study is the first published case report in the literature that proves that fetal adrenal hemorrhage can intrauterin spontaneously absorb within a short period of time. Our case draws attention to the fact that adrenal bleeding may occur in the newborn regardless of birth trauma. It can also be assumed that the incidence of adrenal bleeding during pregnancy is higher than that reported in neonatal cases. Orv Hetil. 2019; 160(52): 2073–2078.

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Prenatal diagnosis of fetal adrenal hemorrhage and endocrinologic evaluation

Cited by 11 publications

References 13 publications

A rare case report of bilateral complex macrocystic adrenal hemorrhage mimicking fetal neuroblastoma

A rare case report of bilateral complex macrocystic adrenal hemorrhage mimicking fetal neuroblastoma

Prenatal Course and Sonographic Features of Congenital Mesoblastic Nephroma

Méhen belül felszívódó magzati mellékvesevérzés ultrahang-diagnózisa

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