2006-06-19-12 Rhabdomyoma © Cuillier www.thefetus.net/
Fabrice Cuillier, MD
Department of Gynecology, Felix Guyon Hospital, Sain Denis, Reunion Island, France
Case report: This is a woman referred to our unit at 35 weeks. There was no previous family history of tuberous sclerosis. During the first trimester, the triple test and the nuchal translucency were normal. At 32 weeks, the scan was normal. The patient was referred to our unit at 35 weeks. The scan revealed two abnormal hyperechoic images on the heart; one located on the external wall of the right ventricle and another one near the roof of the aorta. The heart rhythm was normal. The delivery occurred at 38 weeks (3000g). The physical examination of the baby was normal. The cardiac auscultation was also normal. One month later, an echocardiogram was performed and it was strictly normal according to our neonatal cardiologist. At one-year-old, the baby does not have any external sign of tuberous sclerosis.
The hypothesis about the diagnosis was two rhabdomyomas, with a rapid regression in the postnatal period.
Note the normal pulmonary and aorta
View at 37 weeks. Note the tumour near the roof of the aorta