This Article  • Extract  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Pediatrics, Other  • Alert me on articles by topic

Kathryn S. Moffett, MD; Jon E. Welch, MD
Author Affiliations: Department of Pediatrics, West Virginia University, Morgantown.

Arch Pediatr Adolesc Med. 2006;160:499.

A 7-year-old girl presented with 6 days of vomiting and abdominal pain in addition to a 3.5-kg weight loss over the past 6 months. On examination, she was pale and thin. Her weight was 16.9 kg (<5th percentile for age), and her height was 116 cm (10th percentile). Abdominal examination revealed a well-defined, firm, mobile, nontender, and nonpulsatile 8 x 8-cm mass in the left upper quadrant extending into the epigastric region. Laboratory studies showed a microcytic anemia with a hemoglobin concentration of 9.0 g/dL; the hematocrit was 26.8%. Amylase and lipase levels were normal. Hemoccult test results for stool and emesis were positive for blood. Abdominal radiography was performed (see Figure 1 and Figure 2).

View larger version (73K): [in this window] [in a new window] [as a PowerPoint slide]   Figure 1. Upright radiograph of the abdomen.

View larger version (73K): [in this window] [in a new window] [as a PowerPoint slide]   Figure 2. Kidneys, ureters, and bladder (KUB) radiograph.

What is your diagnosis?

SECTION EDITOR: ALBERT C. YAN, MD; ASSISTANT SECTION EDITOR: SAMIR S. SHAH, MD

RELATED ARTICLE

Picture of the Month—Diagnosis
Arch Pediatr Adolesc Med. 2006;160(5):500.
EXTRACT | FULL TEXT