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2007-12-29-03 Answer to the case of the week #220 © Cuillier www.TheFetus.net


Answer to the case of the week #220

June 05 - June 19, 2008

Fabrice Cuillier, MD*; A. S. Charpentier, MD**; L. Lagarde, MD**.

*

Department of Gynecology, Félix Guyon Hospital, 97400 Saint-Denis, Ile de la Réunion, France;

**

Department of Gynecology, Hôpital Gabriel Martin, 97400 Saint-Paul, Ile de la Réunion, France.

 

 

Case report

A 35 year-old woman presented to our unit at 35 weeks due to premature uterine contractions. An ultrasonographic examination was done and revealed an abdominal echogenic mass in the left upper abdomen. A tricuspid cardiac insufficiency was also present. No other abnormalities were seen. The pregnancy was terminated by a cesarean section due to signs of fetal anemia (a hemoglobin level of the neonate after delivery was 90 g/l). 

Postnatal sonography confirmed the diagnosis of the hepatic tumor and following biopsy revealed the diagnosis of the hepatoblastoma.

Images 1, 2: Transverse images of the fetal abdomen showing a tumoral mass representing the hepatoblastoma.

 

Images 3, 4: Transverse and parasagittal images of the fetal abdomen showing a tumoral mass representing the hepatoblastoma.

 

Images 5, 6: Color Doppler transverse images of the fetal abdomen showing a tumoral mass representing the hepatoblastoma.

 

Images 7, 8: Normal appearance of the fetal kidneys.

 

Images 9, 10: MRI images showing the hepatic mass representing the hepatoblastoma.

 

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