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Bland embolization of a ruptured hepatoblastoma with massive intraperitoneal hemorrhage
- Source :
- Radiology Case Reports, Vol 15, Iss 11, Pp 2367-2370 (2020), Radiology Case Reports
- Publication Year :
- 2020
- Publisher :
- Elsevier, 2020.
-
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.
- Subjects :
- Hepatoblastoma
lcsh:Medical physics. Medical radiology. Nuclear medicine
medicine.medical_specialty
Transarterial embolization
medicine.medical_treatment
lcsh:R895-920
Case Report
Pediatrics
030218 nuclear medicine & medical imaging
Peritoneal Hemorrhage
03 medical and health sciences
0302 clinical medicine
Celiac artery
Intraperitoneal hemorrhage
medicine.artery
medicine
Chemotherapy
Radiology, Nuclear Medicine and imaging
Rupture
business.industry
Induction chemotherapy
medicine.disease
Primary Neoplasm
digestive system diseases
Bland Embolization
Radiology
business
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 19300433
- Volume :
- 15
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- Radiology Case Reports
- Accession number :
- edsair.doi.dedup.....88276a50e77745984d1ab07e6057d9e4