[Neuroblastoma presenting as obstructive jaundice].
Obstructive jaundice as a presentation of abdominal tumors in childhood is extremely rare. To date, only 4 cases of neuroblastoma causing obstructive jaundice at diagnosis have been reported in children. We report a 4-year-old boy who presented to the emergency department with abdominal pain, jaundice, choluria and acholia. A diagnosis of unresectable, nonmetastatic neuroblastoma was made. Chemotherapy reduced the size of the tumor and relieved the symptoms of obstructive jaundice without the need for decompressive surgery. Abdominal tumors should be included in the differential diagnoses of obstructive jaundice in childhood.
Servicio de Oncología Pediátrica, Hospital Infantil Universitario Niño Jesús, Madrid, Spain.
N
N
García de Andoin Barandiaran
A
A
Lassaletta Atienza
C
C
Scaglione Ríos
T
T
Contra Martín
L
L
Madero López
D000008:Abdominal Neoplasms / Q000175:diagnosis*; D002675:Child, Preschool; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology*; D008297:Male; D009447:Neuroblastoma / Q000175:diagnosis*