Tuberous sclerosis complex

Case contributed by Ng Thanh Van Anh
Diagnosis certain

Presentation

Acute abdominal pain.

Patient Data

Age: 30 years
Gender: Female

Abdominal CT

ct

Multiple giant bilateral renal angiomyolipomas complicated by rupture, large left-sided hematoma and ascites. 

The CT images show a small myocardial fatty focus on the left side of the interventricular septum (blue and white arrows).

Thorax CT non contrast

ct

Visualization of the interventricular septum due to anemia.

Multiple small thin-walled cysts surrounded by normal lung parenchyma.

Scattered small random ill-defined lung nodules throughout the lung in a random distribution (Multifocal micronodular pneumocyte hyperplasia).

Moderate right pleural effusion (~20mm).

Brain

ct

Multiples subependymal hamartomas associated with calcification.

Brain

mri