Open AccessThe clinical presentation, imaging features and differential diagnoses of congenital Wilms tumour
Author(s) -
Fidel Rampersad,
Jason Diljohn,
Cristal Goetz
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-228651
Subject(s) - medicine , differential diagnosis , hydronephrosis , rare disease , radiology , fetus , prenatal diagnosis , kidney disease , pathology , wilms' tumor , ultrasound , kidney , angiomyolipoma , medical diagnosis , pregnancy , disease , urinary system , biology , genetics
Solid fetal renal masses are a rare finding on antenatal ultrasound, with hydronephrosis and cystic disease of the kidney usually being the most common causes for fetal renal enlargement. Herein we report a case of a solid fetal renal mass which was detected on third trimester antenatal ultrasound scanning. This renal mass was evaluated by MRI in the postnatal period and diagnosis confirmed by histological analysis, after surgical excision. Also discussed are the differential diagnoses and imaging features of other solid fetal renal masses, including congenital mesoblastic nephroma, nephroblastomatosis, renal sarcoma and angiomyolipoma.