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The association of hepatoblastoma, prematurity and cerebral palsy: Case reports
The association of hepatoblastoma, prematurity and cerebral palsy: Case reports
- Source :
- Journal of pediatric rehabilitation medicine. 13(2)
- Publication Year :
- 2020
-
Abstract
- Purpose Hepatoblastoma is the most common primary liver tumor in children and has a greater incidence in children with a history of prematurity and very low birth weight. To increase awareness of the association between prematurity and hepatoblastoma for health care providers who treat children with Cerebral Palsy (CP), we present two case reports. Methods Two case reports of premature, very low birth weight infants with hepatoblastoma are described and a literature review of hepatoblastoma in the setting of prematurity and cerebral palsy is performed. Results Each patient had a history of 26-28 week prematurity, very low birth weight, and CP. Both presented with worsening constipation and abdominal distension that did not respond to oral medications. Appropriate referrals to the ER were made which lead to a diagnosis of hepatoblastoma. Pediatric rehabilitation was a source of referral for diagnosis in one patient and aided in the rehabilitation course following treatment for both patients. Conclusions Hepatoblastoma is the most common primary liver tumor in children and has an increased incidence in children with a history of prematurity and very low birth weight. Providers who frequently care for the very low birth weight and premature children with CP should be aware of this correlation and include hepatoblastoma in the differential when managing patients with suddenly worsening constipation or abdominal distension. Pediatric physiatrists and other providers for these patients could be a source of referrals and diagnosis leading to timely treatment.
- Subjects :
- Hepatoblastoma
Male
030506 rehabilitation
Pediatrics
medicine.medical_specialty
Constipation
Referral
medicine.medical_treatment
Physical Therapy, Sports Therapy and Rehabilitation
Infant, Premature, Diseases
Cerebral palsy
03 medical and health sciences
0302 clinical medicine
medicine
Humans
Infant, Very Low Birth Weight
Child
Rehabilitation
business.industry
Incidence (epidemiology)
Cerebral Palsy
Liver Neoplasms
Infant, Newborn
Abdominal distension
medicine.disease
digestive system diseases
Low birth weight
Child, Preschool
Pediatrics, Perinatology and Child Health
Female
medicine.symptom
0305 other medical science
business
030217 neurology & neurosurgery
Infant, Premature
Subjects
Details
- ISSN :
- 18758894
- Volume :
- 13
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Journal of pediatric rehabilitation medicine
- Accession number :
- edsair.doi.dedup.....55b5aab7579f30860f1362ce482c08c6