Nephroblastoma presenting with acute hepatic encephalopathy.
A 3 year old girl presented with Budd-Chiari syndrome of acute onset, and hepatic encephalopathy secondary to intravascular extension of a Wilms' tumour shown on echocardiography. After a period of intensive medical treatment the tumour was removed, cardiopulmonary bypass with hypothermic circulatory arrest being necessary. Her hepatic failure resolved and she made a complete neurological recovery.
Kinmond
S
S
Intensive Therapy Unit, Royal Hospital for Sick Children, Glasgow.
Carter
R
R
Skeoch
C H
CH
Morton
N S
NS
D000208:Acute Disease; D006502:Budd-Chiari Syndrome / Q000209:etiology; D002675:Child, Preschool; D005260:Female; D006501:Hepatic Encephalopathy / Q000209:etiology*; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D014463:Ultrasonography; D009396:Wilms Tumor / Q000150:complications* / Q000175:diagnosis / Q000601:surgery