Al Neelain Medical Journal - VOL - 21

Permanent URI for this collectionhttps://repository.neelain.edu.sd/handle/123456789/12047

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Author: search.filters.author.Hassan. I. A

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    Paediatric Abdominal Tumors at Khartoum Teaching Hospital; Pattern and Clinical Profiles
    (جامعة النيلين - مركز النيلين الطبي, 2018-01) Hassan. I. A
    Abstract: Objectives: The aim of this study was to determine the mode of presentations, clinical profile and the sensitivity of imaging in the abdominal tumors in paediatric and types of tumors. Methods: This was a prospective and retrospective cross sectional study conducted in Khartoum Teaching Hospital in the period between April 2012 to April 2014. Variables studied included clinical presentations, imaging used for work up, types of abdominal tumors with regional distributions, and duration of symptoms. Results: fifty-eight patients enrolled, males, 55.2 % (n=32), and females, 44.8 %( n=26), ages group range between (28 days-13 years) with mean 4.6 years. 51.7% from the center of Sudan, 27.6% from West, 15.5% from Gezira, and 5.2% from North. Most of them presented with abdominal mass and pain 89.7 %( n=52), fever 74.1% (n=43), anemia 77.6 %( n=45), four (6.9%) of them presented as acute abdomen (intussusceptions), two presented with mass and jaundice. Six presented with urine retention (10.3%). The duration of symptoms (15days - 3 months). The imaging used were, US&CT scan with sensitivity, 67.3% & 80.3%, respectively. Histologically: 91.1% malignant tumors, the rest were benign and two cases; (abdominal TB). Wilm’s tumor 31%(n=18), lymphoma 27.6%(n=16), neuroblastoma 12.1%(n=7),Hepatoblastoma & teratoma 6.9%(n=4) for each, neuroectodermal 3.4%(n=2), adinocarcinoma, fibro sarcoma, rhabdomy-osarcoma and peutz-jegher 1.7%(n=1) for each. Two cases 3.4% were abdominal TB. about nineteen patients (32.8%) died shortly after starting workup (late presentation). Conclusion: Abdominal mass in paediatric is serious conditions. Good evaluation, awareness with symptoms and signs with reliable imaging and histological investigations; are a corner stone for the early diagnosis and improvement of outcome