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Sharon Dabrow, MD; Marianne Neal, MD; Antoinette Spoto-Cannons, MD
From the Departments of Pediatrics (Drs Dabrow and Spoto-Cannons) and Radiology (Dr Neal), All Children's Hospital, University of South Florida, St Petersburg.

Arch Pediatr Adolesc Med. 2000;154:307-308.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 5-MONTH-OLD male infant was admitted to the hospital with a 3-day history of fever associated with anorexia, fussiness, and decreased sleep. Information from a review of systems and history of present illness revealed a several-week history of constipation and gastroesophageal reflux. On physical examination the infant appeared healthy and had a nontender, firm, abdominal mass palpated in the right upper quadrant. The mass extended 9 cm below the costal margin. By auscultation, bowel sounds were present, and a diffuse low-pitched bruit was heard over the mass. Findings from the remainder of the physical examination were unremarkable.

Results of serum chemistry, liver function tests, prothrombin time, and partial thromboplastin time were normal. The complete blood cell count was remarkable for a hemoglobin level of 91 g/L and a platelet count of 203 x 10⁹/L. Urine catecholamine levels were normal. His ₁. . . [Full Text of this Article]