Abstract
Purpose: Hepatoblastoma is the most common primary neoplasm of the liver in the pediatric population, usually diagnosed during the first 5 years of life. Patients with large or peripheral hepatoblastomas are at risk for rupture and peritoneal hemorrhage. Image-guided, minimally invasive interventions are offered for controlling hemorrhage. Case presentation: We present a 2-year-old female with an 11.8 cm hepatoblastoma in the right hepatic lobe involving segment 4A, who developed hemodynamic instability on day 8 of induction chemotherapy. Imaging revealed intraperitoneal hemorrhage secondary to her ruptured hepatoblastoma. The patient was successfully treated by celiac artery angiogram and transarterial bland embolization. Conclusion: Transarterial bland embolization of large hepatoblastomas may control and even prevent intraperitoneal/intracapsular hemorrhage, and may also enhance the efficacy of systematic chemotherapy in the pediatric patients with advanced hepatoblastoma.
Original language | English (US) |
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Pages (from-to) | 2367-2370 |
Number of pages | 4 |
Journal | Radiology Case Reports |
Volume | 15 |
Issue number | 11 |
DOIs | |
State | Published - Nov 2020 |
Keywords
- Chemotherapy
- Hepatoblastoma
- Pediatrics
- Rupture
- Transarterial embolization
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging