Wilms’ Tumour in an Adult Female Complicating Pregnancy: A Case Report

Abstract

Wilms’ tumour, also known as nephroblastoma, is the most common malignant renal tumour in children but rare in adults with significant difference in symptomatology. Here, we report a case of 23-year-old second-gravida female with 22 weeks of gestation with Wilms’ tumour. Gadolinium-based contrast enhanced magnetic resonance imaging was used, which revealed a heterogeneous space-occupying lesion involving right kidney. The patient was planned for nephron sparing surgery, however after open retroperitoneal exploration, partial nephrectomy was performed. We concluded that Wilms’ tumour in pregnancy can be dealt safely with partial nephrectomy with a retroperitoneal approach.

Keywords

• gadolinium-based imaging
• nephroblastoma
• nephron sparing surgery
• partial nephrectomy