Abstract
Background: Wilms tumor diagnosis due to minimal abdominal trauma is rare and represents a diagnostic and therapeutic challenge. Introduction: A 3-year-old girl presented with one week history of slight left flank pain after fell down from her own height, associated with nausea and vomiting. Physical examination showed abdominal bloating and severe left flank pain. The CT scan showed kidney grade III injury and an upper pole solid mass of 12.8 x 9 x 7 cm and 68 UH. Nephrectomy was performed. Histopathology reported a Wilms tumor of 13x8x6cm with Gerota fascia rupture. Nine months later she came back with pulmonary and peritoneal metastases.
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