Ruptured Hepatoblastoma Treated by Resection of the Left Lobe With Systematic Extrahepatic Glissonean Pedicle Isolation

Abstract

Very few reports are available on liver resection with systematic extrahepatic Glissonean pedicle isolation in pediatric surgery. Here, we report the case of a patient with ruptured hepatoblastoma treated by resection of the left lobe with systematic extrahepatic Glissonean pedicle isolation. Case: A 4-year-old male presented to our hospital with lower abdominal pain and frequent vomiting. CT and MRI showed a large tumor that occupied the entire left lobe of the liver. We made a diagnosis of ruptured hepatoblastoma PRETEXT II. Prior to preoperative systematic chemotherapy, the only abnormal finding was mild anemia. However, on the second day of chemotherapy, hepatoblastoma rupture occurred, and emergency left hepatectomy was performed, with systematic extrahepatic Glissonean pedicle isolation safety undertaken. He was discharged from the hospital on the 5th postoperative month with no complications, and there was no recurrence 3 years postoperatively.