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Case Reports
[Acute pyelonephritis and subcapsular hematoma revealing nephroblastoma at the age of 15 years].
- K Tlili-Graiess, H Amara, H Gharbi-Jemni, D Bakir-Abassi, S Ben Ahmed, R el Kamel, S Korbi, F Mosbah, and M Jeddi.
- Service de radiologie, CHU Sahloul, Sousse, Tunisie.
- Arch Pediatr. 1997 Sep 1; 4 (9): 853-6.
BackgroundNephroblastoma' the most common renal tumor in children between 1 and 5 years, occurs rarely in the oldest child.Case ReportA 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.ConclusionThis nephroblastoma was particular because its development in an adolescent, its association with acute pyelonephritis and subcapsular hemorrhage.
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