Arteriovenous malformations (AVMs) are rarely reported antenatally. Most in utero diagnosis of vascular malformation is related to vein of Galen malformation (VGM). We describe a case of simultaneously diagnosed pial arteriovenous fistula (AVF) and facial vascular malformation in a 20 weeks old fetus. https://www.roneverhart.com/Neumann-KK-205-Supercardioid-Capsule-Head-Black-008654-p29875/