𝔖 Bobbio Scriptorium
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Rapidly expanding mass in a neonate

✍ Scribed by Stuart M. Kremer; Dr. Henrietta Kotlus Rosenberg; Nancy H. Sherman; William Tarry; John W. Duckett; Howard McC. Snyder III


Publisher
John Wiley and Sons
Year
1986
Tongue
English
Weight
415 KB
Volume
14
Category
Article
ISSN
0091-2751

No coin nor oath required. For personal study only.

✦ Synopsis


Congenital mesoblastic nephroma is the most common solid renal tumor in the neonate.' This neoplasm was discovered by ultrasound examination performed to reevaluate known bilateral adrenal hemorrhages in a neonate. The renal mass was not present on a n ultrasound examination performed 22 days earlier.

CASE REPORT

A male infant was born as the result of a nontraumatic spontaneous vaginal delivery at 41 weeks of gestation. There had been no polyhydramnios noted. The child had a nuchal cord and required vigorous suctioning. Apgar was 5 and 8 at 1 and 5 min, respectively. Birth weight was 3,953 g.

Routine physical examination revealed a flank mass on the left. The baby was doing well clinically. However, jaundice was evident at age 40 h, and bilirubin was noted to be 10.3 mg/dl. Repeat


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