A Child with an Acute Abdomen due to a Ruptured Hepatoblastoma.
- Author:
Hon Chol JIN
1
;
Sung Chan OH
;
Seok Yong RYU
;
Hong Yong KIM
Author Information
1. Department of Emergency Medicine, Sanggye Paik Hospital, College of Medicine, Inje University, Seoul, Korea. ryuchoi64@sanggyepaik.ac.kr
- Publication Type:Case Report
- Keywords:
Hepatoblastoma
- MeSH:
Abdomen, Acute*;
Abdominal Pain;
alpha-Fetoproteins;
Carcinoma, Hepatocellular;
Child*;
Diagnosis;
Emergencies;
Hepatoblastoma*;
Humans;
Incidence;
Liver;
Liver Function Tests;
Male
- From:Journal of the Korean Society of Emergency Medicine
2003;14(3):325-328
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A hepatoblastoma is the most common liver tumor in children between 6 months to 3 years of age. It is a rare malignancy of the liver with an incidence of 0.7 to 1 case per 1 million children under 15 years of age in Western countries. Males are more affected. Patients usually have normal liver function test, but have high serum levels of alpha-fetoprotein (AFP), which is a sensitive diagnostic marker. They usually present with abdominal distension or an asymptomatic abdominal mass. Rarely, patients with a hepatoblastoma show an acute abdominal emergency which is not typical for the disease process. The management of a ruptured hepatocellular carcinoma provides guidance for diagnosis and treatment of a hepatoblastoma because the incidence of hepatoblastoma is low. We report a child who presented abdominal pain and distension with the diagnosis of a ruptured hepatoblastoma.
