Wilm's tumour presenting as acute sexual assault.
A 3-year-old presented with severe apparent perineal bleeding. The parents description of a precipitating accident did not provide an adequate explanation for the bleeding. Examination under anaesthesia with police presence revealed no genital injury. Palpation of the abdomen revealed a large renal mass. It was found that the child had a Stage 4 Wilm's Tumour.
Lindisfarne Centre, Royal Victoria Infirmary, Newcastle, UK.
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Phyu
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de San Lazaro
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Hale