Ballotable abdominal mass in a child – Definitely renal in origin?

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

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URL: https://doi.org/10.1016/j.amsu.2021.01.003

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:	pediatric, pancreas, endocrine gland neoplasm, diagnostic imaging, case report
Subjects:	R Medicine > RJ Pediatrics
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	DG MASNIAH AHMAD -
Date Deposited:	16 Apr 2021 14:17
Last Modified:	16 Apr 2021 14:17
URI:	https://eprints.ums.edu.my/id/eprint/26759

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