RT Journal Article SR Electronic T1 Nephroblastoma presenting with acute hepatic encephalopathy. JF Archives of Disease in Childhood JO Arch Dis Child FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health SP 542 OP 543 DO 10.1136/adc.65.5.542 VO 65 IS 5 A1 S Kinmond A1 R Carter A1 C H Skeoch A1 N S Morton YR 1990 UL http://adc.bmj.com/content/65/5/542.abstract AB 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.