Our Tumor Board today reviews the extraordinary course of a now 7 1/2-year-old male, the second of fraternal twins. The patient was noticed to have a small firm nodule in the right posterior lower chest when 4 1/2 months old. At the six-month visit to the pediatrician, the patient was asymptomatic, but was found to have an abdominal right upper quadrant (RUQ) mass and multiple subcutaneous nodules. He was promptly referred to this Center.On arrival here, the patient was not in acute distress.0 1995 Wiley-Liss, Inc.

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Blunt abdominal trauma, common in the pediatric patient, often presents diagnostic difficulties. Following proper resuscitation of the patient, the abdomen must be carefully evaluated. Adequate physical examination is often impossible. Computed tomography of the abdomen is preferable in the stable patient, but peritoneal lavage is occasionally useful. Nonoperative therapy is often used in management of solid visceral injuries in children, but this type of therapy necessitates frequent, careful monitoring.

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