[Acute pyelonephritis and subcapsular hematoma revealing nephroblastoma at the age of 15 years].
BACKGROUND
Nephroblastoma' the most common renal tumor in children between 1 and 5 years, occurs rarely in the oldest child.


METHODS
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.


CONCLUSIONS
This nephroblastoma was particular because its development in an adolescent, its association with acute pyelonephritis and subcapsular hemorrhage.
Tlili-Graiess
K
K
Service de radiologie, CHU Sahloul, Sousse, Tunisie.
Amara
H
H
Gharbi-Jemni
H
H
Bakir-Abassi
D
D
Ben Ahmed
S
S
el Kamel
R
R
Korbi
S
S
Mosbah
F
F
Jeddi
M
M
D000293:Adolescent; D000367:Age Factors; D005260:Female; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D007674:Kidney Diseases / Q000209:etiology*; D007680:Kidney Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D011704:Pyelonephritis / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D009396:Wilms Tumor / Q000150:complications* / Q000175:diagnosis / Q000628:therapy