腹部打撲を契機に発見された左副腎神経芽腫の1歳男児例

概要

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A 22-month-old boy, whose VMA screening test was negative at 6 month after birth, fell from a height of 50 cm to get a bruise on the flank and became shocked. He underwent emergecy laparotomy as splenic rupture was suspected at a local hospital. But there was only massive retroperitoneal hematoma, and no bleeding was observed in the abdominal cavity. Because of continuous fever in the postoperative course, ultrasonographic examination was performed at our institution and adrenal tumor was suspected. Left adrenal tumor was removed and para-aortic lymphnodes were resected by surgery. We staged it as neuroblastoma stage 3 with findings of O_S ・ C_2 ・ N_2 ・ B_0 ・ E_0 ・ V_0 ・ Bm_0 ・ H_0 ・ D_0. We experienced rare neuroblastoma found by blunt abdominal trauma.
特定非営利活動法人日本小児外科学会の論文
1992-08-20