Wilms tumour: claw sign

Case contributed by Dr Ian Bickle

Presentation

Distended abdomen in a toddler. Parental concern. Prior ultrasound performed.

Patient Data

Age: 3 years
Gender: Male
Modality: X-ray

The scanogram from the CT (equating to a plain film) showing a huge homogeneous right sided abdominal mass, crossing the midline and displacing the bowel inferolaterally.

Modality: CT
Huge right sided renal derived mass, without internal calcification.
Modality: Annotated image

Large mass (Wilm's tumour) outlined by red line with claw sign seen in association with a displaced right kidney (yellow arrow) confirming the renal origin of the mass. 

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Case Information

rID: 23628
Case created: 29th Jun 2013
Last edited: 16th Aug 2016
Inclusion in quiz mode: Included

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