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June 1972

Wilms' Tumor Associated With Venous Thrombosis and Consumption Coagulopathy

Author Affiliations

From the departments of pediatrics (Drs. Wang, Gibbons, and Barbero) and pathology (Dr. Nedwich), Hahnemann Medical College and Hospital, Philadelphia.

Am J Dis Child. 1972;123(6):599-601. doi:10.1001/archpedi.1972.02110120123019

A child had consumption coagulopathy associated with Wilms' tumor and extensive thrombosis of the renal veins, extending to the inferior vena cava, the intrahepatic and portal veins, and the right atrium. There was a history of abdominal pain and vomiting with findings of altered consciousness, tachycardia, hepatomegaly, and oliguria. The rapid onset of consumption coagulopathy contributed to death two days after the tumor was first discovered.