Neuroblastoma in a 3-year-old boy presenting with pain in the bilateral hip and abdomen.
10.22470/pemj.2016.3.2.59
- Author:
Jae Hyun KWON
1
;
Jung Heon KIM
;
In Hye SONG
;
Jeong Min RYU
Author Information
1. Department of Pediatrics, University of Ulsan College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Child;
Diagnosis, Differential;
Emergencies;
Hip;
Neuroblastoma;
Pain
- MeSH:
Abdomen*;
Anemia;
Bone Marrow;
Child;
Child, Preschool*;
Diagnosis;
Diagnosis, Differential;
Emergencies;
Emergency Service, Hospital;
Fever;
Hip*;
Humans;
L-Lactate Dehydrogenase;
Male*;
Neoplasm Metastasis;
Neuroblastoma*;
Osteomyelitis;
Positron-Emission Tomography;
Radionuclide Imaging
- From:Pediatric Emergency Medicine Journal
2016;3(2):59-64
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 3-year-old boy presented to our emergency department with a 3-week history of pain in the bilateral hip and abdomen that had persisted through antibiotic therapy based on diagnosis of acute osteomyelitis. At presentation, he had fever, anemia, and increased concentration of lactate dehydrogenase. After the identification of a left adrenal mass indicating neuroblastoma on computed tomography scan, he was admitted to the hospital by a pediatric oncologist. Subsequently, positron emission tomography and bone scintigraphy showed disseminated metastasis to the bone and bone marrow, and neuroblastoma was pathologically confirmed. This case highlights the importance of differential diagnosis of non-traumatic hip pain in toddlers considering the protean manifestations of neuroblastoma.
