If you guessed acute/subacute obstructive renal failure , you are correct!
The patient was admitted to the pediatric service and had bilateral nephrostomy tubes placed. Her creatinine normalized over several days and the abnormality in the following CT scan was addressed.
The differential of the very large calcified pelvic mass was reported as: teratoma vs. dermoid cyst vs. calcified fibroid (unlikely).
She underwent surgery on 2/21/07 and was doing well postoperatively. Path is pending...
Update 2/25/07: the pelvic mass was identified by pathology as a dysgerminoma and was unresectable at laparotomy. The patient had a port placed and will likely begin chemotherapy soon. Further details to follow.
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