2023, Number 1
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Bol Clin Hosp Infant Edo Son 2023; 40 (1)
Wilms tumor emergency situation. Case report
Peñúñuri-Ballesteros JM, Rendón-García H, Larios-Farak T, Castellanos-Villegas E, Espinoza-Carillo F, Castillo-Aldaco J
Language: Spanish
References: 10
Page: 50-53
PDF size: 410.83 Kb.
ABSTRACT
Kidney tumors in childhood and adolescence represent
7% of neoplasias. Its incidence is recorded between
two and four years of age, with 80% of cases presenting
before five years of age, and it rarely appears after
10 years of age, although cases have even been described
in adults. The clinical manifestations presented
by children with Wilms tumor are: palpable abdominal
mass (75%), abdominal pain (28%), hypertension (26%),
gross hematuria (18%), microscopic hematuria (24%),
and fever (22%). Below is the case of a 13-year-old female
patient with acute abdominal pain, associated
with the presence of a palpable mass on the left flank;
who presented tumor rupture and was approached as
an oncological emergency, the need to consider it as
a differential diagnosis in the presence of acute-onset
abdominal pain in a pediatric patient stands out.
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