Perinatal hemorrhage complicating neonatal hepatoblastoma: case report.
Hepatoblastoma is the most common malignant liver tumor of infancy and presents most frequently at a median age of 18 months. Presentation in the neonatal period is rare, and there are very few reports of an antenatal diagnosis of hepatoblastoma. We recently encountered a neonate who presented with hemoperitoneum after rupture of a congenital hepatoblastoma during vaginal delivery. After successful right hepatectomy and adjuvant cis-platinum-based chemotherapy, the child is doing well. We draw attention to rarity of this condition and difficulty in definitively establishing a diagnosis both in the antenatal and neonatal periods and discuss the management dilemmas in congenital presentations of hepatoblastoma.
Touro College of Osteopathic Medicine, NY, USA.
May
M
Lai
Sathyaprasad
S
Burjonrappa
D005260:Female; D006465:Hemoperitoneum / Q000209:etiology*; D006470:Hemorrhage / Q000209:etiology*; D018197:Hepatoblastoma / Q000150:complications*; D006801:Humans; D007231:Infant, Newborn; D008113:Liver Neoplasms / Q000150:complications*; D012422:Rupture, Spontaneous