Autor: |
Samuel Sisay Hailu, MD, Daniel Zewdneh, MD, Daniel Hailu, MD, Tesfahunegn Hailemariam, MD |
Jazyk: |
angličtina |
Rok vydání: |
2023 |
Předmět: |
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Zdroj: |
Radiology Case Reports, Vol 18, Iss 9, Pp 2966-2970 (2023) |
Druh dokumentu: |
article |
ISSN: |
1930-0433 |
DOI: |
10.1016/j.radcr.2023.06.025 |
Popis: |
Beckwith-Wiedemann syndrome (BWS) is a rare imprinting disorder and overgrowth syndrome with a prevalence of 1 in 10,000 live births. It is characterized by predilection for embryonal tumor growth, especially Wilms tumor (WT), and manifestations like lateralized overgrowth/hemihypertrophy, macroglossia, macrosomia, anterior abdominal wall defects, and hyperinsulinism.Our case is a 1 year of female child who presented with abdominal swelling and limb length discrepancies. A clinical diagnosis of BWS was made based on multifocal WT and hepatomegaly and nephromegaly detected on contrast-enhanced abdominal computed tomography and physical examination findings of lateralized overgrowth and umbilical hernia. A molecular genetic test was not available. The patient was started on preoperative chemotherapy with good tolerance.Clinical criteria can be used to diagnose WBS in a setting where confirmatory molecular testing is unavailable. This will considerably change approaches to management of presenting complications such as WT . |
Databáze: |
Directory of Open Access Journals |
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