We report a case of a successful surgical resection of a Wilms’ tumor in the right kidney with a coincidental preoperative imaging finding of a left-sided inferior vena cava. To our knowledge, these 2 conditions occu...We report a case of a successful surgical resection of a Wilms’ tumor in the right kidney with a coincidental preoperative imaging finding of a left-sided inferior vena cava. To our knowledge, these 2 conditions occurring together has not been previously reported in literature. Diagnostic features and the value of magnetic resonance imaging are emphasized. We also review the literature of major venous anomalies and their influence on surgical procedures carried out on such patients.展开更多
A 7-mo-old girl with an asymptomatic antenatally diagnosed choledochal cyst was referred to the regional paediatric surgical centre for advice on management.Following further radiological investigation and discussion ...A 7-mo-old girl with an asymptomatic antenatally diagnosed choledochal cyst was referred to the regional paediatric surgical centre for advice on management.Following further radiological investigation and discussion with the supra-regional centre,a date for elective surgery was arranged.However,in the interim,she was admitted as an emergency following rupture of the cyst.She made an uneventful recovery following urgent laparotomy.Conclusion:We recommend prompt paediatric surgical referral following antenatal diagnosis of a presumed choledochal cyst.Delay in surgery may permit expansion and rupture of the cyst,even after a period of asymptomatic stability.展开更多
文摘We report a case of a successful surgical resection of a Wilms’ tumor in the right kidney with a coincidental preoperative imaging finding of a left-sided inferior vena cava. To our knowledge, these 2 conditions occurring together has not been previously reported in literature. Diagnostic features and the value of magnetic resonance imaging are emphasized. We also review the literature of major venous anomalies and their influence on surgical procedures carried out on such patients.
文摘A 7-mo-old girl with an asymptomatic antenatally diagnosed choledochal cyst was referred to the regional paediatric surgical centre for advice on management.Following further radiological investigation and discussion with the supra-regional centre,a date for elective surgery was arranged.However,in the interim,she was admitted as an emergency following rupture of the cyst.She made an uneventful recovery following urgent laparotomy.Conclusion:We recommend prompt paediatric surgical referral following antenatal diagnosis of a presumed choledochal cyst.Delay in surgery may permit expansion and rupture of the cyst,even after a period of asymptomatic stability.
