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.