Abstract
Serial renal dynamic scans (RDS) were performed in a child with bilateral Wilms' tumor to assess renal function. Baseline RDS, apart from detecting the tumors as large photopenic areas in the renal fossae, revealed well preserved function in the upper pole of the right kidney and non visualization of the left kidney. Left tumor enucleation was done. Follow-up RDS showed good radiotracer uptake suggestive of functioning parenchyma in the upper part of the left kidney that was not seen on the earlier scan. RDS was repeated after similar surgery on the right side, which also revealed good function and drainage. We conclude that RDS is a good modality to assess renal function after surgery in patients with Wilms' tumor.
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