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

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 extremely rare and presenting with intestinal obstruction is perhaps unknown. We report a 2-day-old baby girl who manifested featu...

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Main Authors: Selim Ahmed, MBBS, FCPS(Paed), Chandran Nadarajan, MD, MMED(Rad), Chiak Yot NG, MBBS, MMED(Rad), Yong Guang Teh, MD, Dr Rad, Muhammad Zahid Abdul Muien, MD, Dr Rad, Constance Sat Lin LIEW, M.D., MMed(Anesthesiology)
Format: Article
Language:English
Published: Elsevier 2021-10-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043321004349
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author Selim Ahmed, MBBS, FCPS(Paed)
Chandran Nadarajan, MD, MMED(Rad)
Chiak Yot NG, MBBS, MMED(Rad)
Yong Guang Teh, MD, Dr Rad
Muhammad Zahid Abdul Muien, MD, Dr Rad
Constance Sat Lin LIEW, M.D., MMed(Anesthesiology)
author_facet Selim Ahmed, MBBS, FCPS(Paed)
Chandran Nadarajan, MD, MMED(Rad)
Chiak Yot NG, MBBS, MMED(Rad)
Yong Guang Teh, MD, Dr Rad
Muhammad Zahid Abdul Muien, MD, Dr Rad
Constance Sat Lin LIEW, M.D., MMed(Anesthesiology)
author_sort Selim Ahmed, MBBS, FCPS(Paed)
collection DOAJ
description 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 extremely 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.
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spelling doaj.art-9d744415f0d3407a9558446fe3be2d7f2022-12-21T18:45:47ZengElsevierRadiology Case Reports1930-04332021-10-01161029082912Wilms tumor presenting as small bowel obstruction in a neonate: A diagnostic challengeSelim Ahmed, MBBS, FCPS(Paed)0Chandran Nadarajan, MD, MMED(Rad)1Chiak Yot NG, MBBS, MMED(Rad)2Yong Guang Teh, MD, Dr Rad3Muhammad Zahid Abdul Muien, MD, Dr Rad4Constance Sat Lin LIEW, M.D., MMed(Anesthesiology)5Paediatric Department, Medical Based Department, Faculty of Medicine & Health Science, Universiti Malaysia Sabah, Jalan UMS, 88400, Kota Kinabalu, Sabah, MalaysiaDepartment of Radiology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kota Bharu, KelantanDepartment of Radiology, Medical Based Department, Faculty of Medicine & Health Science Universiti Malaysia Sabah, Jalan UMS, 88400, Kota Kinabalu, Sabah, Malaysia; Corresponding author.Department of Radiology, Medical Based Department, Faculty of Medicine & Health Science Universiti Malaysia Sabah, Jalan UMS, 88400, Kota Kinabalu, Sabah, MalaysiaDepartment of Radiology, Medical Based Department, Faculty of Medicine & Health Science Universiti Malaysia Sabah, Jalan UMS, 88400, Kota Kinabalu, Sabah, MalaysiaAnesthesia and Critical Care Department, Medical Based Department, Faculty of Medicine & Health Science, Universiti Malaysia Sabah, Jalan UMS, 88400, Kota Kinabalu, Sabah, MalaysiaWilms 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 extremely 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.http://www.sciencedirect.com/science/article/pii/S1930043321004349Neonatal Wilms tumorWilms tumorMalrotationNephroblastomaIntestinal obstruction
spellingShingle Selim Ahmed, MBBS, FCPS(Paed)
Chandran Nadarajan, MD, MMED(Rad)
Chiak Yot NG, MBBS, MMED(Rad)
Yong Guang Teh, MD, Dr Rad
Muhammad Zahid Abdul Muien, MD, Dr Rad
Constance Sat Lin LIEW, M.D., MMed(Anesthesiology)
Wilms tumor presenting as small bowel obstruction in a neonate: A diagnostic challenge
Radiology Case Reports
Neonatal Wilms tumor
Wilms tumor
Malrotation
Nephroblastoma
Intestinal obstruction
title Wilms tumor presenting as small bowel obstruction in a neonate: A diagnostic challenge
title_full Wilms tumor presenting as small bowel obstruction in a neonate: A diagnostic challenge
title_fullStr Wilms tumor presenting as small bowel obstruction in a neonate: A diagnostic challenge
title_full_unstemmed Wilms tumor presenting as small bowel obstruction in a neonate: A diagnostic challenge
title_short Wilms tumor presenting as small bowel obstruction in a neonate: A diagnostic challenge
title_sort wilms tumor presenting as small bowel obstruction in a neonate a diagnostic challenge
topic Neonatal Wilms tumor
Wilms tumor
Malrotation
Nephroblastoma
Intestinal obstruction
url http://www.sciencedirect.com/science/article/pii/S1930043321004349
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