Abstract: Science Set Journal of Pediatrics

Abstract:
Introduction: Wilms tumor, also known as nephroblastoma, is the most common primary malignant renal tumor in children. Although rare, tumor rupture or bleeding within a Wilms tumor can occur, leading to acute abdominal pain. Delayed diagnosis can have negative consequences on survival rates. The clinical presentation, particularly abdom inal pain with tumor rupture, can complicate preoperative diagnosis, potentially resulting in misdiagnosis. Radical nephrectomy is the typical treatment for Wilms tumor, with emergent surgery necessary in cases of active bleeding or tumor rupture.

Case Summary: In this report, I present the case of a 3-year-old male patient from Yemen who presented to the ER with an abdominal mass and pain following a minor trauma. A CT scan raised suspicion of a ruptured right Wilms tumor, leading to immediate surgical intervention in the form of radical nephrectomy. Histopathology confirmed the diagnosis of Wilms tumor, and the patient was subsequently referred to an oncologist for further management, includ ing chemotherapy.