A case of fatal tumor embolus following trauma in a patient with undiagnosed Wilms' tumor.
Involvement of the inferior vena cava with tumor thrombus has been reported in 5 to 10% of patients with Wilms' tumor. Preoperative imaging usually alerts the surgeon to the extent of the intravascular extension. We present a case report of trauma to a previously undiagnosed Wilms' tumor that resulted in a fatal intraoperative pulmonary tumor embolus.
Lambert
A W
AW
Department of Paediatric Surgery, University Hospital of Wales. anthony.lambert@phnt.swest.nhs.uk
Nathan
M
M
Jones
P L
PL
Huddart
S N
SN
D000058:Accidental Falls; D002675:Child, Preschool; D004630:Emergencies; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D007680:Kidney Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D009360:Neoplastic Cells, Circulating / Q000473:pathology*; D011651:Pulmonary Artery / Q000473:pathology; D012082:Renal Veins; D009396:Wilms Tumor / Q000150:complications* / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D014947:Wounds and Injuries / Q000150:complications*