Pediatr. praxi. 2024;25(3):176-179 | DOI: 10.36290/ped.2024.036

Incidentally detected abdominal mass - atypical origin, atypical diagnosis

MUDr. Terézia Tureková^{1, 3}, MUDr. Jan Máchal, Ph.D.^{2, 3}, MUDr. Pavel Mazánek^{2, 3}

¹ Klinika dětské onkologie, Fakultní nemocnice, Brno

² Oddělení dětské hematologie a biochemie, Fakultní nemocnice, Brno

³ Lékařská fakulta, Masarykova univerzita, Brno

The differential diagnosis of a pathological abdominal mass is broad. Usually, the first thing the attending physician is concerned of is a malignant disease. Neuroblastomas, hepatoblastomas, lymphomas, sarcomas, Wilms' or ovarian tumors can be palpated in the abdominal cavity. As part of the proper differential diagnostic process, it is also nece­ssary to keep in mind non-malignant causes that may point to other serious diseases. This case report presents the patient with accidentally palpated abdominal resistance, who was in diagnostic process for suspected malignancy. In this patient, the mass did not have a malignant origin, it was a large hematoma, which was the first symptom of previously unrecognized severe hemophilia A. Hemophilia is a rare congenital bleeding disorder that accompanies the patient and his family throughout their life. In almost one third of patients, this is a sporadic occurrence of the disease, and therefore a neonatologist or a pediatrician may encounter it in their praxis. In context of the possible serious complications that this disease brings, it is the task of the attending pediatrician to recognize the disease in time and transfer the patients to the specialist care.

Keywords: abdominal mass, congenital coagulopathies, hemophilia A, pediatrics.

Accepted: June 12, 2024; Published: June 14, 2024  Show citation