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Nephroblastoma presenting with acute hepatic encephalopathy.
  1. S Kinmond,
  2. R Carter,
  3. C H Skeoch,
  4. N S Morton
  1. Intensive Therapy Unit, Royal Hospital for Sick Children, Glasgow.


    A 3 year old girl presented with Budd-Chiari syndrome of acute onset, and hepatic encephalopathy secondary to intravascular extension of a Wilms' tumour shown on echocardiography. After a period of intensive medical treatment the tumour was removed, cardiopulmonary bypass with hypothermic circulatory arrest being necessary. Her hepatic failure resolved and she made a complete neurological recovery.

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