Sonographic Diagnosis of Fetal Adrenal Hemorrhage Complicating a Vein of Galen Aneurysmal Malformation

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 f...

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Main Authors: Mehmet Serdar Kütük, Selim Doğanay, Süreyya Burcu Görkem, Ahmet Özdemir, Adnan Öztürk
Format: Article
Language:English
Published: Galenos Publishing House 2016-02-01
Series:Balkan Medical Journal
Subjects:
Online Access:http://balkanmedicaljournal.org/text.php?lang=en&id=175
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author Mehmet Serdar Kütük
Selim Doğanay
Süreyya Burcu Görkem
Ahmet Özdemir
Adnan Öztürk
author_facet Mehmet Serdar Kütük
Selim Doğanay
Süreyya Burcu Görkem
Ahmet Özdemir
Adnan Öztürk
author_sort Mehmet Serdar Kütük
collection DOAJ
description 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.
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spelling doaj.art-bb0363fff5034c9fa2307e07020ea3f02023-02-15T16:17:07ZengGalenos Publishing HouseBalkan Medical Journal2146-31232146-31312016-02-0133111211410.5152/balkanmedj.2015.151118Sonographic Diagnosis of Fetal Adrenal Hemorrhage Complicating a Vein of Galen Aneurysmal MalformationMehmet Serdar Kütük0Selim Doğanay1Süreyya Burcu Görkem2Ahmet Özdemir3Adnan Öztürk4Department of Obstetrics and Gynecology, Erciyes University Faculty of Medicine, Kayseri, TurkeyDepartment of Radiology, Division of Pediatric Radiology, Erciyes University Faculty of Medicine, Kayseri, TurkeyDepartment of Radiology, Division of Pediatric Radiology, Erciyes University Faculty of Medicine, Kayseri, TurkeyDepartment of Pediatrics, Division of Neonatalogy, Erciyes University Faculty of Medicine, Kayseri, TurkeyDepartment of Pediatrics, Division of Neonatalogy, Erciyes University Faculty of Medicine, Kayseri, TurkeyBackground: 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.http://balkanmedicaljournal.org/text.php?lang=en&id=175Adrenal hemorrhagefetalultrasoundvein of Galen aneurysmal malformation
spellingShingle Mehmet Serdar Kütük
Selim Doğanay
Süreyya Burcu Görkem
Ahmet Özdemir
Adnan Öztürk
Sonographic Diagnosis of Fetal Adrenal Hemorrhage Complicating a Vein of Galen Aneurysmal Malformation
Balkan Medical Journal
Adrenal hemorrhage
fetal
ultrasound
vein of Galen aneurysmal malformation
title Sonographic Diagnosis of Fetal Adrenal Hemorrhage Complicating a Vein of Galen Aneurysmal Malformation
title_full Sonographic Diagnosis of Fetal Adrenal Hemorrhage Complicating a Vein of Galen Aneurysmal Malformation
title_fullStr Sonographic Diagnosis of Fetal Adrenal Hemorrhage Complicating a Vein of Galen Aneurysmal Malformation
title_full_unstemmed Sonographic Diagnosis of Fetal Adrenal Hemorrhage Complicating a Vein of Galen Aneurysmal Malformation
title_short Sonographic Diagnosis of Fetal Adrenal Hemorrhage Complicating a Vein of Galen Aneurysmal Malformation
title_sort sonographic diagnosis of fetal adrenal hemorrhage complicating a vein of galen aneurysmal malformation
topic Adrenal hemorrhage
fetal
ultrasound
vein of Galen aneurysmal malformation
url http://balkanmedicaljournal.org/text.php?lang=en&id=175
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AT sureyyaburcugorkem sonographicdiagnosisoffetaladrenalhemorrhagecomplicatingaveinofgalenaneurysmalmalformation
AT ahmetozdemir sonographicdiagnosisoffetaladrenalhemorrhagecomplicatingaveinofgalenaneurysmalmalformation
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