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Wilms' tumor with acute abdominal pain
Archives of Surgery (Chicago, Ill. : 1960)
|September 1, 1977
Summary
Wilms tumor can cause acute abdominal pain, sometimes mimicking surgical emergencies. Thorough abdominal palpation and intra-abdominal examination are crucial for accurate diagnosis in children.
Area of Science:
- Pediatric Oncology
- Pediatric Surgery
Background:
- Acute abdominal pain is a common presentation in children.
- Wilms tumor, a pediatric kidney cancer, can manifest with abdominal pain.
Observation:
- Approximately 30% of Wilms tumor patients present with abdominal pain.
- A subset of these patients experience severe pain, leading to a suspected acute surgical abdomen diagnosis.
Findings:
- Six out of 38 patients with Wilms tumor exhibited significant abdominal pain between 1965-1975.
- This highlights the importance of considering Wilms tumor in pediatric acute abdominal pain cases.
Implications:
- Emphasizes thorough abdominal palpation under anesthesia before surgery in children with suspected acute abdomen.
- Recommends careful intra-abdominal examination during exploratory laparotomy to rule out conditions like Wilms tumor if no acute surgical issue is found.