The Indian Journal of Pediatrics

, Volume 71, Issue 5, pp 465–467 | Cite as

Wilm’s tumor in a solitary kidney complicated by chemotherapy induced obstructive uropathy

  • P. M. Prasoon
  • V. S. Akbar Sherif
  • P. R. Babu
  • A. N. Regi George
  • P. Anoop
Clinical Brief
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Abstract

A three-year-old male child with Wilm’s tumor of left kidney and right sided unilateral renal agenesis is reported. The left renal vein was located posterior to the aorta. He was managed with medical measures alone. The initial phase of treatment was complicated by chemotherapy induced dislodgment of the tumor fragment and subsequent distal obstruction.

Key words

Wilm’s tumor Unilateral renal agenesis Retro-aortic left renal vein Obstructive uropathy 

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References

  1. 1.
    Breslow NE, Beckwith JB. Epidemiological features of Wilm’s tumor: Results of National Wilm’s Tumor Study.J Natl Cancer Inst 1982; 68 : 429.PubMedGoogle Scholar
  2. 2.
    Inon AE, Gallo G, Richard L, Martorelli J, Puigdevall JC. Wilm’s tumor treated with chemotherapy in a patient with solitary kidney.J Pediatr Surg 1996; 31: 1305.PubMedCrossRefGoogle Scholar
  3. 3.
    Newbold SG, Shafer AD, Goodwin CD, Nanagas VN, Dimlich SH. Stage three Wilm’s tumor of a solitary kidney in a patient with Marfan’s syndrome: A five year survival.J Pediatr Surg 1982; 17 : 841.PubMedCrossRefGoogle Scholar
  4. 4.
    Androulakakis PA. Enucleative surgery for a renal tumor in a solitary kidney.J Urol 1980; 123: 605.PubMedGoogle Scholar
  5. 5.
    Escandon MAS, Cambon LM, Castro-Ellendt EP, Valcarcel JD, Rodriguez AG, Figueiras RG. Unilateral renal agenesia and transitional cell carcinoma: Report of two cases.Arch Esp Urol 2002; 55 : 146. (Article in Spanish)Google Scholar
  6. 6.
    Doroshow LW, Abeshouse BS. Congenital unilateral solitary kidney: Report of thirty seven cases and a review of the literature.Urol Survey 1961; 11 : 219.Google Scholar
  7. 7.
    Cascio S, Paran S, Puri P. Associated urological anomalies in children with unilateral renal agenesis.J Urol 1999; 162: 1081.PubMedCrossRefGoogle Scholar
  8. 8.
    Ashley DJB, Mostofi FK. Renal agenesis and dysgenesis.J Urol 1960; 83: 211.PubMedGoogle Scholar
  9. 9.
    Charney CW, Gillenwater JY. Congenital absence of vas deferens.J Urol 1965; 93: 399.Google Scholar
  10. 10.
    Schumacker HB Jr. Congenital anomalies of the genitalia associated with unilateral renal agenesis with particular reference to true unicornuate uterus: Report of cases and review of the literature.Arch Surg 1938; 37 : 586.Google Scholar
  11. 11.
    Knudson AG, Strong LC. Mutation and cancer: A model for Wilm’s tumor of the kidney.J Natl Cancer Inst 1972; 48 : 313.PubMedGoogle Scholar
  12. 12.
    Davis CJ Jr, Lundberg GD. Retro-aortic left renal vein: A relatively frequent anomaly.Am J Clin Pathol 1968; 50 : 700.PubMedGoogle Scholar
  13. 13.
    Satyapal KS, Kalideen JM, Haffejee AA, Singh B, Robbs JV. Left renal vein variations.Surg Radiol Anat 1999; 21: 77.PubMedGoogle Scholar
  14. 14.
    Karkos CD, Bruce IA, Thomson GJ, Lambert ME. Retro-aortic left renal vein and its implications in abdominal aortic surgery.Ann Vasc Surg 2001; 15: 703.PubMedCrossRefGoogle Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 2004

Authors and Affiliations

  • P. M. Prasoon
    • 3
  • V. S. Akbar Sherif
    • 3
  • P. R. Babu
    • 3
  • A. N. Regi George
    • 1
    • 3
  • P. Anoop
    • 2
    • 3
  1. 1.Department of RadiodiagnosisInstitute of Maternal & Child Health, Medical CollegeCalicut, KeralaIndia
  2. 2.Department of PediatricsInstitute of Maternal & Child Health, Medical CollegeCalicut, KeralaIndia
  3. 3.Department of Pediatric SurgeryInstitute of Maternal & Child Health, Medical College, CalicutKeralaIndia

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