Association of Wilms tumor in multicystic dysplastic kidneys: case report and review of the literature

Multicystic dysplastic kidney is a rare urinary anomaly characterized by multiple non-communicating cysts resulting in a non-functional kidney. In addition to association with hypertension and contralateral renal anomalies, children with multicystic dysplastic kidney have an increased risk of Wilms tumor. Cohort studies and systematic reviews are hampered in estimating the true risk of this association due to the rarity and infrequent reporting of the condition. We present a case of a 2-year-old male child with an antenatal diagnosis of multicystic dysplastic kidney undergoing surveillance ultrasonography who presented with a symptomatic Wilms tumor. Level of evidence: Not applicable for this multicentre audit.

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Is it always Wilms’ tumor? Localized cystic disease of the kidney in an infant. An extremely rare case report and review of the literature

Pediatric Reports ◽

10.4081/pr.2020.8483 ◽

2020 ◽

Vol 12 (1) ◽

Author(s):

Christos Kaselas ◽

Charikleia Demiri ◽

Vasilios Mouravas ◽

Eleni Koutra ◽

Kleanthis Anastasiadis ◽

...

Keyword(s):

Case Report ◽

Rare Case ◽

Wilms Tumor ◽

Pediatric Population ◽

Benign Disease ◽

Cystic Disease ◽

Proper Treatment ◽

Review Of The Literature ◽

Rare Case Report ◽

Renal Malignancies

Localized Cystic Disease of the Kidney (LCDK) is an extremely rare benign disease in pediatric population. Although its management is conservative and generally requires no treatment, the unfamiliarity with the disease can expose such patients to misdiagnosis as renal malignancies or uncertainty for proper treatment. We report such a case in an infant and review the current literature.

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Early Nephrectomy in Unilateral Multicystic Dysplastic Kidney in Children Cures Hypertension Early: An Observation

European Journal of Pediatric Surgery ◽

10.1055/s-0037-1599837 ◽

2017 ◽

Vol 27 (06) ◽

pp. 533-537 ◽

Cited By ~ 2

Author(s):

Vijai Upadhyaya ◽

Manish Gupta ◽

Laxmi Bharti ◽

Ram Rao ◽

Sheo Kumar ◽

...

Keyword(s):

Blood Pressure ◽

Antihypertensive Drugs ◽

Case Series ◽

Multicystic Dysplastic Kidney ◽

Time Duration ◽

Level Of Evidence ◽

Variable Time ◽

Dysplastic Kidney ◽

Diagnosis Of Hypertension

Objective Surgery is still indicated as the treatment of choice in subset of patients with unilateral multicystic dysplastic kidney (UMCDK) because of its potential complications and malignant change. The purpose of this study is to present our observation that early nephrectomy may cure hypertension early in children with UMCDK and review the literature. Materials and Methods We report here four children (two males and two females) with antenatally diagnosed UMCDK with hypertension, treated in the past 4 years. All have antenatal diagnosis of UMCDK and referred to us after their birth. Diagnosis of hypertension (blood pressure > 95th percentile) was made after 3 months of follow-up in all patients. Nephrectomy was performed in all children in variable time duration. Hypertension, urinary tract infection, and desire of parents were the main indication of surgery. Results All children showed decrease in the size of their dysplastic kidney with time, but hypertension was persistent and needed antihypertensive drugs; even increase in the doses in successive follow-up. After nephrectomy, three children who were operated early got cured having normal blood pressure within variable time duration, while a child, operated late, still had high blood pressure and needed antihypertensive drugs. Conclusion Early nephrectomy in recently diagnosed hypertension in UMCDK is advisable and can cure hypertension early. Levels of Evidence The level of evidence is IV (case series with no comparison group).

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Wilms' Tumor of the Cervix: A Case Report and Review of the Literature

Gynecologic Oncology ◽

10.1006/gyno.1999.5625 ◽

2000 ◽

Vol 76 (1) ◽

pp. 107-111 ◽

Cited By ~ 19

Author(s):

Elizabeth A. Babin ◽

John R. Davis ◽

Kenneth D. Hatch ◽

Alton V. Hallum

Keyword(s):

Case Report ◽

Wilms Tumor ◽

Review Of The Literature

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Multiple polyurethane implant punctures during fat grafting: case report and review of the literature

BMC Surgery ◽

10.1186/s12893-020-00915-4 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Dmitry Batiukov ◽

V. Podgaiski ◽

D. Mikulich ◽

S. Kalinin

Keyword(s):

Case Report ◽

Breast Reconstruction ◽

Breast Augmentation ◽

Surgical Procedure ◽

Fat Grafting ◽

Review Of The Literature ◽

Level Of Evidence ◽

Case Presentation ◽

Tissue Ingrowth ◽

First Case

Abstract Background Breast augmentation with implants continues to be the most popular aesthetic surgical procedure performed worldwide. Fat grafting may improve the results of breast augmentation and breast reconstruction with implants. However, fat grafting to the breast with implants carries the risk of implant puncture. To our best knowledge this is the first case in which polyurethane implant puncture during fat grafting is described. Case presentation We report multiple bilateral implant punctures with the cannula during fat grafting in a patient who previously underwent breast reconstruction with polyurethane implants. Conclusions Implants that promote tissue ingrowth may be more prone to puncture with the cannula during fat grafting. Specific planning and surgical maneuvers decrease the risk of implant puncture. Level of evidence Level V, case report.

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