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
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.

CT
Huge right sided renal derived mass, without internal calcification.
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: 30th May 2017
Inclusion in quiz mode: Included

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