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Author Notes:

Elie Portnoy: sportno3@jhmi.edu

Subject:

Keywords:

  • Chemotherapy
  • Hepatoblastoma
  • Pediatrics
  • Rupture
  • Transarterial embolization

Bland embolization of a ruptured hepatoblastoma with massive intraperitoneal hemorrhage

Tools:

Journal Title:

Radiology Case Reports

Volume:

Volume 15, Number 11

Publisher:

, Pages 2367-2370

Type of Work:

Article | Final Publisher PDF

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.

Copyright information:

© 2020 The Authors. Published by Elsevier Inc. on behalf of University of Washington.

This is an Open Access work distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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