Metastatic renal abscess mimicking Wilms' tumour.
Renal abscesses are uncommon in children, and usually present with a high fever and flank pain. We report a 9-year-old girl who presented with abdominal pain and cough. While the finding of multiple lung nodules and a renal mass prompted the initial diagnosis of Wilms' tumour, biopsy showed multiple renal abscesses with secondary lung involvement. The imaging findings and pathology correlation are provided.
Constantine
Sarah
S
Department of Medical Imaging, Women's and Children's Hospital, 72 King William Road, North Adelaide, SA 5006, Australia. sconstan@chariot.net.au
Kaye
Juliet
J
D000038:Abscess / Q000000981:diagnostic imaging* / Q000382:microbiology; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000000981:diagnostic imaging* / Q000382:microbiology; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging*; D008169:Lung Abscess / Q000000981:diagnostic imaging; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D009396:Wilms Tumor / Q000000981:diagnostic imaging*