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August 1967

The Abdominal Mass in the Patient With Tuberous Sclerosis: Surgical Implications and Report of a Case

Author Affiliations

Rochester, Minn
From the Mayo Clinic, Rochester, Minn.

Arch Surg. 1967;95(2):317-319. doi:10.1001/archsurg.1967.01330140155035

TUBEROUS sclerosis was first described by Bourneville and Brissaud1 in 1880, in feeble-minded children with epilepsy, progressive mental deterioration, and cerebral calcification. Although the syndrome derives its name from the cerebral hamartomatous neuronal-glial proliferations or malformations which apparently are responsible for the epileptiform and mental deficiency, hamartomatous anomalies occur in other parts. The presence of an abdominal mass in such a patient requires certain special considerations and is the subject of this case report.

Report of a Case  A 12-year-old boy was hospitalized in August 1966, because of a gradually enlarging, asymptomatic abdominal mass known to have been present for three years. The patient had suffered convulsive seizures since the age of 2 years, and the tuberous sclerosis complex was diagnosed at our clinic at the age of 4 years.The patient had, at this time, severe mental retardation. There were multiple nodular and papular skin lesions, especially about

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