Wilms tumor presenting as small bowel obstruction in a neonate: A diagnostic challenge

Selim Ahmed and Chandran Nadarajan and Chiak Yot Ng and Yong Guang Teh and Muhammad Zahid Abdul Muien and Constance Sat Lin (2021) Wilms tumor presenting as small bowel obstruction in a neonate: A diagnostic challenge. Radiology Case Reports, 16. pp. 2908-2912. ISSN 2908-2912

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Abstract

Wilms tumor is the most common primary malignant renal tumor of childhood which usually presents between 2 and 6 years of age. Its presentation in the neonatal period is ex- tremely rare and presenting with intestinal obstruction is perhaps unknown. We report a 2- day-old baby girl who manifested features of acute upper gastrointestinal obstruction with frequent post-feeding vomiting and abdominal distension. The initial abdominal radiograph showed abnormally displayed small bowel loops to the right hemiabdomen. Subsequent ultrasound and computed tomography scan of the abdomen detected a massive left renal mass. Left-sided nephrectomy was performed, and histopathology demonstrated left-sided Wilms tumor with favorable histology. Post-treatment yearly follow-up for 5 years recorded a disease-free, normally thriving child.

Item Type:	Article
Keyword:	Neonatal Wilms tumor , Wilms tumor , Malrotation , Nephroblastoma , Intestinal obstruction
Subjects:	Q Science > QM Human anatomy > QM1-695 Human anatomy > QM1-511 General R Medicine > RC Internal medicine > RC31-1245 Internal medicine > RC254-282 Neoplasms. Tumors. Oncology Including cancer and carcinogens
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	DG MASNIAH AHMAD -
Date Deposited:	26 Oct 2021 19:23
Last Modified:	26 Oct 2021 19:23
URI:	https://eprints.ums.edu.my/id/eprint/30763

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