ABSTRACT
Wilms tumor and hepatoblastoma are the most common intra-abdominal solid organ childhood tumors. CT examination is one of the routinely performed procedures in hospitals for children with these tumors inspite of high radiation exposure associated with CT scans. Sixty patients [Wilms tumor = 45, hepatoblastoma = 16] were evaluated retrospectively. Higher proportion [44.4%] of metastatic disease was identified at presentation in the Wilms tumor subset as compared to hepatoblastoma [6.3%] [p=0.006]. Metastatic disease was noted in 6 patients having Wilms tumor on follow-up while it was also low in hepatoblastoma which was noted in only 2 patients [p > 0.05]. No significant difference was identified in pelvic extension of disease at presentation in both studied population [p > 0.05]. Pelvic metastasis was noted in 1 patient only with Wilms tumor on follow-up while no pelvic metastasis was seen in the hepatoblastoma patients [p-value > 0.05]
ABSTRACT
We report a young girl with acute lobar nephronia. She presented with signs and symptoms suggestive of a febrile urinary tract infection. Sonography, radioisotope study and enhanced computed tomography scan confirmed the diagnosis of acute lobar nephronia. She was treated with intravenous antibiotics for two weeks followed by long-term prophylaxis antibacterial therapy. Despite clinical recovery, follow-up computed tomography scams and isotope studies showed residual renal scarring of the affected kidney