Congenital mesoblastic nephroma: A case report and review of literature

Bwala KJ; Umar AM; Suleiman DE; Abdullahi I; Zaidu am; Mustapha SS; Adamu D; Habibu KA; Aliyu NS; Alhassan N

doi:10.61386/imj.v18i3.718

Authors

Bwala KJ Surgery Department, Abubakar Tafawa Balewa University Teaching Hospital, ATBUTH, Bauchi
Umar AM Surgery Department, Abubakar Tafawa Balewa University Teaching Hospital, ATBUTH, Bauchi
Suleiman DE Histopathology Department, Abubakar Tafawa Balewa University Teaching Hospital, ATBUTH, Bauchi
Abdullahi I Surgery Department, Abubakar Tafawa Balewa University Teaching Hospital, ATBUTH, Bauchi
Zaidu am Paediatric Department, Abubakar Tafawa Balewa University Teaching Hospital, ATBUTH, Bauchi
Mustapha SS Paediatric Department, Abubakar Tafawa Balewa University Teaching Hospital, ATBUTH, Bauchi
Adamu D Histopathology Department, Abubakar Tafawa Balewa University Teaching Hospital, ATBUTH, Bauchi
Habibu KA Surgery Department, Abubakar Tafawa Balewa University Teaching Hospital, ATBUTH, Bauchi
Aliyu NS Surgery Department, Abubakar Tafawa Balewa University Teaching Hospital, ATBUTH, Bauchi
Alhassan N Surgery Department, Abubakar Tafawa Balewa University Teaching Hospital, ATBUTH, Bauchi

DOI:

https://doi.org/10.61386/imj.v18i3.718

Keywords:

congenital, mesoblastic nephroma, emergency surgery

Abstract

Introduction: Congenital mesoblastic nephroma is a rare renal tumour affecting newborns and infants. It is also known as leiomyomatous or fetal hamartoma and is the most common solid Renal tumor in the neonate and infants less than 6 months old.

Case summary: We report a case of congenital mesoblastic nephroma (CMN) in a 19-hour-old boy presenting with a huge intra-abdominal mass and failure to pass meconium. Ultrasound scan revealed a huge intra-abdominal mass arising from the left renal bed and gaseous intestinal dilatation. Emergency simple total left nephrectomy was done, and histological diagnosis of CMN was confirmed. The newborn was discharged in good condition 5 days after surgery.

Conclusion: A high index of suspicion and prompt surgical intervention are crucial for a favourable outcome.