Przerzut o wyglądzie ropnia w płucach 10-letniego chłopca : opis przypadku

Background: Malignant pulmonary tumours in children are very rare; the majority are metastases. Nonspecific radiographic findings of these abnormalities are challenging and may delay the final diagnosis and treatment. Case Report: A 10-year-old boy was admitted to our hospital because of the clinical and radiographic symptoms and signs of pneumonia with abscess formation in the left lower lobe. After initial improvement on antibiotic therapy, a significant deterioration of the patient's condition was observed, together with progression in radiographic examinations. The patient was treated surgically and transferred to the Haematology and Oncology Department with a final diagnosis of pulmonary metastasis of clear cell sarcoma. Conclusions: Radiographic findings of metastatic diseases may mimic non-neoplastic pulmonary conditions. A lack of specific clinical symptoms and a confusing radiographic pattern in our patient with clear cell sarcoma lung metastasis caused serious diagnostic difficulties

The abdominoscrotal hydrocele in the infant : case report

Background: An abdominoscrotal hydrocele (ASH) is a rare lesion and should be considered in the differential diagnosis of abdominal cystic lesions in boys. Case Report: We report a case of a 4-month-old boy with a thin-walled, anechoic cystic abdominal mass in ultrasound (US) examination. As the size of the lesion increased in follow-up US after one month, computed tomography (CT) was performed. CT demonstrated a communication between a cystic mass in the abdomen and a right scrotal hydrocele - an abdominoscrotal hydrocele (ASH). The patient had no symptoms and was observed by means of US examination. After the next 4 months, the size of the ASH decreased remarkably. Conclusions: This rare entity should be considered in differential diagnosis of cystic abdominal masses in boys. Spontaneous resolution of ASH is rare, but asymptomatic patients can be followed up before surgery