TITLE:
Traumatic Rupture of Wilm’s Tumour in Children, Case Report of 3.5 Years Girl
AUTHORS:
Alaa Ali Mousa, Hany Mofed Hendi, Ahmed Hegazy, Ahmed Adel Abosoud, Alaa Muhammed Elghol, Hesham Elsayed Khyrallah, Muhammed Fathi Younis, Alaa Salah Farag, Hossam Elaraby, Abdullah Elrashidy
KEYWORDS:
Wilms Tumor, Blunt Renal Trauma, Hemorrhagic Shock, Radical Nephrectomy, SIOP Staging
JOURNAL NAME:
Open Journal of Urology,
Vol.16 No.5,
May
19,
2026
ABSTRACT: Background: We report a case of a 3.5-year-old girl presenting with hemorrhagic shock and gross heamaturia. Emergency evaluation via ultrasound and CT revealed a large perinephric hematoma and a non-secretory left kidney. Due to hemodynamic instability, an emergent laparotomy and radical nephrectomy was performed. Results: Histopathology confirmed a Stage III mixed-type Wilms tumor. The upgrade to Stage III was necessitated by intraoperative tumor rupture and local spillage. Despite a postoperative complication of intestinal obstruction, the patient successfully completed the SIOP-based chemotherapy and radiotherapy protocol and remains recurrence-free at one-year follow-up. Conclusion: Traumatic rupture of a Wilms tumor is a surgical emergency. Immediate intervention and upstaging to Stage III are critical for survival and long-term oncological control.