Abdominal tumors in children. Abdominal tumor ≠ abdominal neoplasm. In neonatal and infantile period the majority of palpable masses in abdomen are anomalous or enlarged o rgans .
In neonatal and infantile period the majority of palpable masses in abdomen are anomalous or enlarged organs .
Congenital abnormalities of kidneys are the cause of 55% of all unilateral and 90% of bilateral abdominal masses in newborns and infants
Adrenal - haematoma
Kidney enlargement – hydronephrosis, abscess, renal veins thrombosis
Renal – Wilms tumour
Lymph nodes – lymphoma
adrenals and autonomic ganglions – neuroblastoma
USG and plain abdominal rentgenogram – cystic mass:
USG and plain abdominal rentgenogram – solid mass:
Hydronephrosis in infant
more pronounced on the right
Newborn – adrenal haematoma
Autosomal recessive policystic kidney disease urography:bilateral massive enlargement of kidneys
Autosomal recessive policystic kidney disease CT
Case 1: This well 5-year-old child presented with a left-sidedabdominal mass. Ultrasound revealed a large rounded softtissue mass arising from the kidney. A CT examination was performed .
post contrast CT shows a well definedsoft tissue mass in the left upper quadrant
Case 2: A 2-year-old child presented with a large intra-abdominal mass. There was associated vomiting and weight loss. A CTand nuclear medicinestudywere performed.
the CT examination shows a large abdominal mass that iscalcified and encases the