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A previously healthy 6-year-old boy presented to the children's Accident and Emergency Department with right-sided abdominal pain.
On examination, there was a palpable, non-tender abdominal mass, with no lymphadenopathy.
Initial investigations revealed pancytopenia (haemoglobin was 5.7 g/dL, white cell count 3.7 × 109/L, platelets 134 × 109/L) and lactate dehydrogenase 1690 (normal range 240–480) with normal urea and electrolytes/liver function tests. Abdominal ultrasound showed a …
Competing interests None declared.
Patient consent Parental consent obtained.
Provenance and peer review Not commissioned; internally peer reviewed.