Case report: ballotable abdominal mass in a child – Definitely renal in origin?
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 examinatio...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English English |
| Published: |
Elsevier Ltd
2021
|
| Online Access: | https://eprints.ums.edu.my/id/eprint/29991/3/Case%20report_Ballotable%20Abdominal%20Mass%20in%20a%20child%20%E2%80%93%20definitely%20renal%20in%20origin%20FULL%20TEXT.pdf https://eprints.ums.edu.my/id/eprint/29991/4/Case%20report_Ballotable%20Abdominal%20Mass%20in%20a%20child%20%E2%80%93%20definitely%20renal%20in%20origin%20ABSTRACT.pdf |
| _version_ | 1796910785037860864 |
|---|---|
| author | Guan Tatt Lim Teh, Yong Guang Ng, Chiak Yot Hazlina Mohd Khalid Firdaus Hayati |
| author_facet | Guan Tatt Lim Teh, Yong Guang Ng, Chiak Yot Hazlina Mohd Khalid Firdaus Hayati |
| author_sort | Guan Tatt Lim |
| collection | UMS |
| description | 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 |
| first_indexed | 2024-03-06T03:09:25Z |
| format | Article |
| id | ums.eprints-29991 |
| institution | Universiti Malaysia Sabah |
| language | English English |
| last_indexed | 2024-03-06T03:09:25Z |
| publishDate | 2021 |
| publisher | Elsevier Ltd |
| record_format | dspace |
| spelling | ums.eprints-299912021-07-21T02:00:53Z https://eprints.ums.edu.my/id/eprint/29991/ Case report: ballotable abdominal mass in a child – Definitely renal in origin? Guan Tatt Lim Teh, Yong Guang Ng, Chiak Yot Hazlina Mohd Khalid Firdaus Hayati 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 Elsevier Ltd 2021 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/29991/3/Case%20report_Ballotable%20Abdominal%20Mass%20in%20a%20child%20%E2%80%93%20definitely%20renal%20in%20origin%20FULL%20TEXT.pdf text en https://eprints.ums.edu.my/id/eprint/29991/4/Case%20report_Ballotable%20Abdominal%20Mass%20in%20a%20child%20%E2%80%93%20definitely%20renal%20in%20origin%20ABSTRACT.pdf 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 https://reader.elsevier.com/reader/sd/pii/S2049080121000017?token=879999CDFC2F3A018FCB0B0A1DFBBAB2155BBE6F96045998ACA114831F8892ED626AA316EC57044D95523EE6C053E7AA&originRegion=eu-west-1&originCreation=20210716041235 https://doi.org/10.1016/j.amsu.2021.01.003 https://doi.org/10.1016/j.amsu.2021.01.003 |
| spellingShingle | Guan Tatt Lim Teh, Yong Guang Ng, Chiak Yot Hazlina Mohd Khalid Firdaus Hayati Case report: ballotable abdominal mass in a child – Definitely renal in origin? |
| title | Case report: ballotable abdominal mass in a child – Definitely renal in origin? |
| title_full | Case report: ballotable abdominal mass in a child – Definitely renal in origin? |
| title_fullStr | Case report: ballotable abdominal mass in a child – Definitely renal in origin? |
| title_full_unstemmed | Case report: ballotable abdominal mass in a child – Definitely renal in origin? |
| title_short | Case report: ballotable abdominal mass in a child – Definitely renal in origin? |
| title_sort | case report ballotable abdominal mass in a child definitely renal in origin |
| url | https://eprints.ums.edu.my/id/eprint/29991/3/Case%20report_Ballotable%20Abdominal%20Mass%20in%20a%20child%20%E2%80%93%20definitely%20renal%20in%20origin%20FULL%20TEXT.pdf https://eprints.ums.edu.my/id/eprint/29991/4/Case%20report_Ballotable%20Abdominal%20Mass%20in%20a%20child%20%E2%80%93%20definitely%20renal%20in%20origin%20ABSTRACT.pdf |
| work_keys_str_mv | AT guantattlim casereportballotableabdominalmassinachilddefinitelyrenalinorigin AT tehyongguang casereportballotableabdominalmassinachilddefinitelyrenalinorigin AT ngchiakyot casereportballotableabdominalmassinachilddefinitelyrenalinorigin AT hazlinamohdkhalid casereportballotableabdominalmassinachilddefinitelyrenalinorigin AT firdaushayati casereportballotableabdominalmassinachilddefinitelyrenalinorigin |