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/ASUS-VivoBook-X515-15-6-FHD-Laptop-Intel-Core-i5-1135G7-2-4-GHz-Intel-Iris-Xe-Graphics-16GB-DDR4-RAM-1TB-SSD-Windows-/