Wilms tumor

Case contributed by Dr Luis Cueto

Presentation

Abdominal distension and vomiting over several days. Abdominal examination shows a large mass in right upper quadrant.

Patient Data

Age: 7 years
Gender: Male
CT

There is a large mass originating from the upper and middle pole of right kidney. The mass is solid with heterogeneous contrast enhancement with hypodense areas related with necrosis. It displaces the lower pole of the kidney medially, and compresses the right lobe of the liver. There is no infiltration of the inferior vena cava or right renal vein.

Case Discussion

Findings are consistent with (subsequently confirmed) a Wilms tumor.

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Case information

rID: 8774
Published: 1st Mar 2010
Last edited: 25th Apr 2021
Inclusion in quiz mode: Included