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
Jonathan A. Van Heerden, Margaret F. Longo, Francisco Cardoza, George M. Farrow. The Abdominal Mass in the Patient With Tuberous SclerosisSurgical Implications and Report of a Case. Arch Surg. 1967;95(2):317–319. doi:10.1001/archsurg.1967.01330140155035