2009-12-16-09 Septal hypertrophy, diabetes © Labate www.thefetus.net/
Septal hypertrophy, diabetes
Department of of Obstetrics and Gynecology, "V. Cervello" Hospital - Palermo - Italy.
Case report
A 27-year-old G1P0 was referred to our department at 32 weeks of gestation due to the abdominal pain and the risk of the premature labor. The patient had a type 2 diabetes mellitus.
The ultrasound examination revealed the following findings: female fetus with normal growth, abdominal circumference corresponded to 35 weeks (3 weeks too large), normal placenta and normal amniotic fluid index; normal heart anatomy and regular heart rate.
A subsequent ultrasond performed at 34 weeks revealed the hypertrophic interventricular septum, which is a typical finding for the fetus of a diabetic mother. The patient delivered via cesarean section a few hours later. The female neonate was in a good condition. The fetal weight was 3300 grams. The echocardiography examination which was done after delivery confirmed the prenatal diagnosis.
Images 1,2: The images show a significant hypertophy of the interventricular septum.
Images 3,4: Image 3 shows a four chamber view of the heart with the Doppler color mode; note the interventricular septum hypertrophy.
Video: Video shows a heart examination using a color Doppler. Note the hypertrophy of the interventricular septum.