Bland embolization of a ruptured hepatoblastoma with massive intraperitoneal hemorrhage

Nariman Nezami, Hans Michell, Christos Georgiades, Elie Portnoy

Research output: Contribution to journalArticlepeer-review

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 languageEnglish (US)
Pages (from-to)2367-2370
Number of pages4
JournalRadiology Case Reports
Volume15
Issue number11
DOIs
StatePublished - Nov 2020

Keywords

  • Chemotherapy
  • Hepatoblastoma
  • Pediatrics
  • Rupture
  • Transarterial embolization

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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