2023 Volume 59 Issue 1 Pages 51-55
Rupture of hepatoblastoma can be fatal due to hemorrhagic shock. We report three cases of ruptured hepatoblastoma treated with transcatheter arterial embolization (TAE) followed by systemic chemotherapy and hepatectomy. A 10-month-old girl was transferred to our institute by helicopter for emergency TAE followed by 4 courses of CITA and right lobectomy. A 6-year-old boy presented with sudden onset of shock during close examination of liver tumor. Emergency TAE was performed, and underwent left lobectomy after 6 courses of CITA. 1.5 years later, resection was performed for local recurrence. A 2-year-old boy went into shock during transfer to the hospital and underwent emergency TAE for hemostasis. He underwent 4 courses of C5VD followed by right lobectomy. Prompt access to and completion of TAE can save lives in cases of ruptured hepatoblastoma. After hemostasis, chemotherapy should be prioritized to reduce the size of the tumor, and then tumor resection should be performed.
