Wilms tumor - with hemorrhage

Discussion:

Once the lesion was proven to arise from the kidney it was almost definitely a Wilm's tumor which is the most common renal tumor in this age group and was confirmed on surgical resection.

I suspect the spontaneous internal hemorrhage into the tumor precipitated a rapid increase in tumor volume resulting in the acute presentation. After the diagnostic CT, the patient was taken by ambulance to the nearest pediatric specialist center for full work up and definitive management.

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