A few cases with bilateral renal enlargement in acute lymphoblastic
leukemia were reported in literature. In this article, we reported
an unusual case of a child with precursor B-ALL presenting with
massively enlarged bilateral unobstructed kidneys and acute renal
failure. Renal involvement of ALL should be taken into consideration
in case with massively enlarged bilateral kidneys in radiological
examination. Based on radiological, clinical and laboratory findings
including bone marrow aspirate examination, the patient could be
diagnosed as ALL without renal biopsy.
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