Pulmonary Embolism and Wilms' Tumor, Can it Be Any Worse?
AbstractIt is common for Wilms tumor to invade the inferior vena cava and right
atrium, but a massive pulmonary embolism is rare. This case reports
describes an 8-year-old male patient who presented to an outpatient
clinic with mild pain and abdominal mass. A left renal mass with
extension of an inferior vena cava thrombus was seen on abdominal CT,
suggesting a Wilms tumor. An exploratory laparotomy biopsy was
scheduled, but not completed because the patient's health suddenly
deteriorated, and he died despite high-quality cardiopulmonary
resuscitation. A massive pulmonary embolism was found to cause a sudden
and fatal cardiac arrest.