smitha
Forum Elite
Topics: 53
Posts: 236
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CASE: A 4 yo boy is brought to the office for evaluation of a painless abdominal mass that the child’s mother noted while bathing him.Acoording to her, he has been acting & playing as usual.She reports regular bowel movements,no vomiting, no change of appetite, and no trauma.Prenatal routine sonogram was remarkable for horse shoe kidney on the rt. Side.PE-----AFEBRILE, PLAYFUL CHILD with a BP-----120/75mmHg and pulse---90/min.His abdomen is soft, and anontender , tennis ball sized hard mass is noted on deep palpation slightly to the rt. At the level of umbilicus.Hisliver and spleen are not palpable, no bruits heard.Other PE----normal.No lymphadenopathy seen.HEENT, LUNGS, CVS normal. U/A----dipstick neg for blood, USG---8- to 10- cm mass arisisng from lower pole of rt. Kidney, which is horse shoe shaped, great vessels patent;
The most likely diagnosis……..
1. neuroblastoma
2. renal vein thrombosis
3. horse shoe kidney
4. wilm’s tumor
5. teratoma
6. choledochal cyst
7. pancreatic cyst
This condition is most likely asso. With………..
1.Alport’s syndrome
2. Beckwith weidmann syndrome
3.Down’s syndrome
4.Nephrotic syndrome
6. Prune belly syndrome
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| Yulia
Forum Elite
Topics: 19
Posts: 240
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Asymptomatic abdominal mass in 4 y.o. arising from kidney, that should be Wilm's tumor, and it can be associated with Beckwith-Wiedemann Syndrome (macrosomia, macroglossia, omphalocele, hypoglycemia)
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| smitha
Forum Elite
Topics: 53
Posts: 236
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Yes, EXACTLY yulia.........ur correct...... 
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