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©The Author(s) 2005. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Oct 21, 2005; 11(39): 6235-6237
Published online Oct 21, 2005. doi: 10.3748/wjg.v11.i39.6235
Published online Oct 21, 2005. doi: 10.3748/wjg.v11.i39.6235
Ruptured hepatoblastoma with massive internal bleeding in an adult
Hung-Yen Ke, Jia-Hui Chen, Yee-Min Jen, Jyh-Cherng Yu, Chung-Bao Hsieh, Cheng-Jueng Chen, Yao-Chi Liu, Teng-Wei Chen, De-Chuan Chan, Division of General Surgery, Department of Surgery, Department of Radio-Oncology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, China
Author contributions: All authors contributed equally to the work.
Correspondence to: Dr. De-Chuan Chan, Division of General Surgery, Tri-Service General Hospital, 325, Sec. 2, Chen-Kung Road, Neihu 114, Taipei, Taiwan, China. drkehy@yahoo.com.tw
Telephone: +886-2-8792-7191 Fax: +886-2-8792-7273
Received: April 18, 2005
Revised: May 23, 2005
Accepted: May 24, 2005
Published online: October 21, 2005
Revised: May 23, 2005
Accepted: May 24, 2005
Published online: October 21, 2005
Abstract
Hepatoblastoma is the most common primary hepatic tumor of children. However, only a very few cases have been reported in adults. Most studies support treatment with chemotherapy followed by surgical resection. We present the first reported case of adult hepatoblastoma in Taiwan. A 52-year-old female suffered from sudden onset of abdominal pain and general weakness for days. Internal bleeding with hemorrhagic shock was suspected and two massive lesions in both lobes of the liver with hemoperitoneum were noted from imaging studies. Surgical resection of the larger left lobe tumor and radio-frequency ablation of the right smaller one were performed. The histopathology diagnosis was of a hepatoblastoma.
Keywords: Adult hepatoblastoma, Hepatoblastoma rupture, Internal bleeding, Hepatoblastoma, Mixed type hepatoblastoma