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. 2015:2015:487219.
doi: 10.1155/2015/487219. Epub 2015 Feb 26.

Anesthesia management of a 20-month-old patient with giant unilateral wilms tumor

Nune Matinyan  1 , Alexander Saltanov  1 , Leonid Martynov  1 , Anatolij Kazantsev  1
Affiliations

Anesthesia management of a 20-month-old patient with giant unilateral wilms tumor

Nune Matinyan et al. Case Rep Anesthesiol. 2015.

Abstract

Wilms tumour (WT) (or nephroblastoma) is one of the most common malignant kidney tumors in children. On subsequent stages clinically it is often characterized by abdominal hypertension syndrome, which, in turn, leads to development of respiratory insufficiency. Other symptoms comprise renal deficiency, hypertension, and abnormalities of hemostasis and hemogram. Treatment includes rounds of preoperative chemotherapy and subsequent surgery. We report a case of perioperative management for nephrectomy in 20-month-old patient with a giant unilateral WT. The complexity of anesthesia was determined by the size of tumor, increased intra-abdominal pressure, respiratory deficiency, and hypercoagulation.

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Figures

Figure 1
Figure 1
Preoperative abdominal computed tomography: right kidney subtotally replaced by tumor.
Figure 2
Figure 2
Partial tumor mobilization.
Figure 3
Figure 3
Resected specimen.
See this image and copyright information in PMC

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