Multimodality Treatment of Bilateral Wilms Tumor in a Pregnant Female

A 31-year-old pregnant female who was at 16 weeks gestational age presented to the emergency room with severe right sided flank pain and low-grade fevers. She denied hematuria or dysuria. She had a mother with endometrial cancer and no family history of renal malignancy or congenital anomalies. Her physical exam was notable for a large and tender right upper quadrant mass and a gravid uterus. The rest of her exam was unremarkable as were her basic chemistries and blood counts. Urinalysis was positive for nitrites and leukocyte esterase, and urine culture grew>100,000 colonies of E.
Source: Urology - Category: Urology & Nephrology Authors: Source Type: research