RT Journal
A1 Gwinn JL, Lee FA, Fruchter ZZ
T1 RAdiological case of the month
JF American Journal of Diseases of Children
JO American Journal of Diseases of Children
YR 1969
FD September 1
VO 118
IS 3
SP 485
OP 486
DO 10.1001/archpedi.1969.02100040487013
UL http://dx.doi.org/10.1001/archpedi.1969.02100040487013
AB CLINICAL HISTORY.—This 11-month-old boy was brought to the hospital because of lack of appetite, loss of weight, and an abdominal mass. The mother stated that she first noted enlargement of the abdomen one month earlier. No other symptoms were present.A large mass was palpable in the left flank and extended into the iliac fossa. There were no other abnormal physical findings. An anemia was present with an erythrocyte count of 2,720,000/cu mm and hemoglobin determination of 50%.Denouement and DiscussionRetroperitoneal Spindle Cell SarcomaThe plain roentgenograms of the abdomen show a soft tissue mass in the left flank displacing the intestine to the right. There are no calcifications. On excretory urography (Fig 1), contrast is seen in the mass on the left, and there appear to be two superimposed renal collecting structures to the right of the spine. In the lateral projection (Fig 2), the collecting structures of