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[Acute pyelonephritis and subcapsular hematoma revealing nephroblastoma at the age of 15 years]
K Tlili-Graiess1, H Amara, H Gharbi-Jemni
1Service de radiologie, CHU Sahloul, Sousse, Tunisie.
Background:
Nephroblastoma' the most common renal tumor in children between 1 and 5 years, occurs rarely in the oldest child.
Case Report:
A 16-year-old teenager suffered from acute pyelonephritis caused by Klebsiella pneumoniae. Renal ultrasonography showed a left subcapsular hematoma; the CT scan confirmed the finding and also showed renal scarring. However, a second CT scan showed pulmonary nodules suggestive of metastasis, a diagnosis that was confirmed by needle biopsy of pulmonary lesions. Recovery was obtained after chemotherapy and nephrectomy with a 3-year-follow-up.
Conclusion:
This nephroblastoma was particular because its development in an adolescent, its association with acute pyelonephritis and subcapsular hemorrhage.