Case report: ballotable abdominal mass in a child – Definitely renal in origin?

Guan Tatt Lim and Teh, Yong Guang and Ng, Chiak Yot and Hazlina Mohd Khalid and Firdaus Hayati (2021) Case report: ballotable abdominal mass in a child – Definitely renal in origin? Annals of Medicine and Surgery, 62. pp. 84-87. ISSN 2049-0801

	Text Case report_Ballotable Abdominal Mass in a child – definitely renal in origin FULL TEXT.pdf Restricted to Registered users only Download (402kB) | Request a copy
	Text Case report_Ballotable Abdominal Mass in a child – definitely renal in origin ABSTRACT.pdf Download (62kB)

Abstract

Introduction and importance: The differential diagnosis of a paediatric abdominal mass can be extensive, as it potentially involves multiple organs including gastrointestinal, genitourinary, endocrine, and gynaecological systems. Hence, a systematic approach to history taking and physical examination is needed to clinch the diagnosis. Specifically, the approach for assessing, investigating, and managing a ballotable left hypochondrial mass in a child can be challenging. Case presentation: We report a 10-year-old Dusun girl presenting with left hypochondrial pain and noted a left hypochondrial mass on examination. This report highlights the role of clinical imaging during the pre-operative and post-operative phases. Clinical discussion: Ultrasound and CT imaging was useful in determining that the tumor originated from the tail of the pancreas. The presence of a definite capsule with internal solid-cystic components helped narrowed the differential diagnosis to solid pseudopapillary neoplasm (SPN) of the pancreas. MR liver was useful to rule out liver metastasis in this child. Intervention and outcome: The patient was scheduled for laparotomy and tumour excision at a regional paediatric centre. Successful excision of the tumor en-mass was performed and the child’s subsequent recovery was uneventful. Conclusion: Clinical imaging plays a critical role in the diagnosis and management of paediatric solid organ tumours. Other than renal origin, suspicion of pancreatic tail origin should be considered by clinicians when encountering a ballotable left abdominal mass

Item Type:	Article
Keyword:	Paediatric , Pancreas , Endocrine gland neoplasm , Diagnostic imaging
Subjects:	?? RJ101 ??
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	SAFRUDIN BIN DARUN -
Date Deposited:	21 Jul 2021 10:00
Last Modified:	21 Jul 2021 10:00
URI:	https://eprints.ums.edu.my/id/eprint/29991

Actions (login required)

View Item