SPONTANEOUS RUPTURE OF WILMS’ TUMOR PRESENTING AS ACUTE APPENDICITIS: A RARE CASE PRESENTATION

Received 2020-08-19; Accepted 2021-01-13; Published 2021-01-29

Authors

  • Henry Tan Chor Lip Department of Surgery, Hospital Sultanah Aminah, Johor Bahru, Malaysia.
  • Tan Jih Huei Department of Surgery, Hospital Sultanah Aminah, Johor Bahru, Malaysia.
  • V Muthualhagi A/P Vellusamy Department of Pediatric Surgery, Hospital Sultanah Aminah, Johor Bahru, Malaysia.

DOI:

https://doi.org/10.22452/jummec.vol24no1.2

Keywords:

Child, Wilms’ Tumor, Kidney Neoplasm

Abstract

In Malaysia, incidence of Wilms’ Tumor (WT) is rare, with only 8 cases reported over four years according to the Malaysia Cancer Registry Report (2012-2016). Reports of spontaneous rupture of WT are scarce and the commonest presentation of this entity is a palpable mass in the abdomen. Herein, we report on the unusual presentation of an 11-year-old boy with typical symptoms of acute appendicitis. The child was subjected to an initial open appendicectomy and diagnosed intra-operatively with a right sided ruptured renal mass. Subsequent investigation leading to the diagnosis of a ruptured Wilms’ tumor and its treatment is discussed in this case presentation.

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Published

2021-01-29

Issue

Section

Research article