This is a 15-year-old female who presented with sudden onset left flank pain associated with nausea and vomiting and a history of weight loss. Radiological investigation revealed a large non-obstructive tumor involving the lower pole of the left kidney which was primarily thought to be a renal cell carcinoma. She underwent left open radical nephrectomy with adrenalectomy. Histopathology of the resected specimen showed features of Ewing's sarcoma of the kidney which was confirmed by cytogenetic analysis. This is a rare disease especially in the pediatric group and in reporting such a rare case we hope it helps in identifying a potential course of the disease and its response to the involved treatment.
International journal of surgery case reports. 2017 Oct 13 [Epub ahead of print]
Faris Alasmari, Hani Albadawe, Sultan Alkhateeb, Fahd Alsufiani, Samirah Ghandurah
College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Saudi Arabia., Department of Urology, King Abdulaziz Medical City, Saudi Arabia. Electronic address: ., Department of Urology, King Abdulaziz Medical City, Saudi Arabia., Department of Pathology, King Abdulaziz Medical City, Saudi Arabia.