Septal hypertrophy, diabetes

Francesco Labate, MD.

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.

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Foramen_2

Images 3,4: Image 3 shows a four chamber view of the heart with the Doppler color mode; note the interventricular septum hypertrophy.

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Foramen_4

Video: Video shows a heart examination using a color Doppler. Note the hypertrophy of the interventricular septum.

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