Wilms tumor is the second most common intraabdominal malignancy in childhood. Vessel invasion with thrombus formation is a well-known phenomenon in Wilms tumor and is found in 30% of these children. This report describes a 4-year-old boy with a left kidney Wilms tumor and extensive thrombi formation with intracardiac extension. He underwent a left radical nephrectomy under cardiopulmonary bypass following a single dose of chemotherapy. Emergency surgery with cardiopulmonary bypass may be lifesaving in children with cardiac compromise in the presence of extensive thrombosis.
CoxSGDavidsonAThomasJ, et al.
Surgical management and outcomes of 12 cases of Wilms tumour with intracardiac extension from a single centre.Pediatr Surg Int2018;
34: 227–235.
5.
ShambergerRCRitcheyMLHaaseGM, et al.
Intravascular extension of Wilms tumor.Ann Surg2001;
234: 116–121.
6.
McMahonS and CarachiR.Wilms' tumor with intravascular extension: a review article.J Indian Assoc Pediatr Surg2014;
19: 195–200.
