Benbrahim Fatima Zohra, Haddad Siham El, Belkouchi Lina, Faraj Chaymae, Jellal Sanae, Boutaleb Joud, Allali Nazik, Chat Latifa
Department of Radiology, Children hospital of Rabat, Ibn Sina University Hospital, Mohammed V University, Rabat, Morocco.
Radiol Case Rep. 2024 Nov 6;20(1):550-555. doi: 10.1016/j.radcr.2024.10.093. eCollection 2025 Jan.
Nephroblastoma tumor is the most common renal tumor in children aged 1 to 5 years, typically presenting as an abdominal mass. However, other nonspecific signs may also reveal the disease. An unusual presentation, such as acute pyelonephritis or a subcapsular renal hematoma, is rarely an initial warning sign and should prompt investigation of an underlying cause, especially in the absence of trauma history. We report here a particular case of Wilms tumor, revealed by acute pyelonephritis and complicated by a subcapsular hematoma in a 6-year-old girl. We emphasize the importance of considering the diagnosis of Wilms tumor in any child presenting with renal hemorrhage, to improve prognosis and initiate therapeutic management as early as possible.
肾母细胞瘤是1至5岁儿童最常见的肾脏肿瘤，通常表现为腹部肿块。然而，其他非特异性体征也可能提示该病。不寻常的表现，如急性肾盂肾炎或肾包膜下血肿，很少是最初的警示信号，应促使对潜在病因进行调查，尤其是在没有外伤史的情况下。我们在此报告一例特殊的威尔姆斯瘤病例，该病例由急性肾盂肾炎发现，并伴有一名6岁女孩的肾包膜下血肿。我们强调，对于任何出现肾出血的儿童，考虑威尔姆斯瘤的诊断非常重要，以改善预后并尽早开始治疗管理。
