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Special Feature |

Picture of the Month—Quiz Case FREE

Kathryn S. Moffett, MD; Jon E. Welch, MD
[+] Author Affiliations

Section Editor: Albert C. Yan, MD
Assistant Section Editor: Samir S. Shah, MD


Arch Pediatr Adolesc Med. 2006;160(5):499. doi:10.1001/archpedi.160.5.499.
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A 7-year-old girl presented with 6 days of vomiting and abdominal pain in addition to a 3.5-kg weight loss over the past 6 months. On examination, she was pale and thin. Her weight was 16.9 kg (<5th percentile for age), and her height was 116 cm (10th percentile). Abdominal examination revealed a well-defined, firm, mobile, nontender, and nonpulsatile 8 × 8-cm mass in the left upper quadrant extending into the epigastric region. Laboratory studies showed a microcytic anemia with a hemoglobin concentration of 9.0 g/dL; the hematocrit was 26.8%. Amylase and lipase levels were normal. Hemoccult test results for stool and emesis were positive for blood. Abdominal radiography was performed (see Figure 1 and Figure 2).

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Figure 1.

Upright radiograph of the abdomen.

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Figure 2.

Kidneys, ureters, and bladder (KUB) radiograph.

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Figures

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Figure 1.

Upright radiograph of the abdomen.

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Figure 2.

Kidneys, ureters, and bladder (KUB) radiograph.

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