Hirschsprung disease and hepatoblastoma: case report of a rare association

ABSTRACT CONTEXT: Hirschsprung disease is a developmental disorder of the enteric nervous system that is characterized by absence of ganglion cells in the distal intestine, and it occurs in approximately 1 in every 500,000 live births. Hepatoblastoma is a malignant liver neoplasm that usually occur...

Full description

Bibliographic Details
Main Authors: Raquel Borges Pinto, Ana Regina Lima Ramos, Ariane Nadia Backes, Beatriz John dos Santos, Valentina Oliveira Provenzi, Mário Rafael Carbonera, Maria Lúcia Roenick, Pedro Paulo Albino dos Santos, Fabrizia Falhauber, Meriene Viquetti de Souza, João Vicente Bassols, Osvaldo Artigalás
Format: Article
Language:English
Published: Associação Paulista de Medicina
Series:São Paulo Medical Journal
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802016000200171&lng=en&tlng=en
_version_ 1818297665133215744
author Raquel Borges Pinto
Ana Regina Lima Ramos
Ariane Nadia Backes
Beatriz John dos Santos
Valentina Oliveira Provenzi
Mário Rafael Carbonera
Maria Lúcia Roenick
Pedro Paulo Albino dos Santos
Fabrizia Falhauber
Meriene Viquetti de Souza
João Vicente Bassols
Osvaldo Artigalás
author_facet Raquel Borges Pinto
Ana Regina Lima Ramos
Ariane Nadia Backes
Beatriz John dos Santos
Valentina Oliveira Provenzi
Mário Rafael Carbonera
Maria Lúcia Roenick
Pedro Paulo Albino dos Santos
Fabrizia Falhauber
Meriene Viquetti de Souza
João Vicente Bassols
Osvaldo Artigalás
author_sort Raquel Borges Pinto
collection DOAJ
description ABSTRACT CONTEXT: Hirschsprung disease is a developmental disorder of the enteric nervous system that is characterized by absence of ganglion cells in the distal intestine, and it occurs in approximately 1 in every 500,000 live births. Hepatoblastoma is a malignant liver neoplasm that usually occurs in children aged 6 months to 3 years, with a prevalence of 0.54 cases per 100,000. CASE REPORT: A boy diagnosed with intestinal atresia in the first week of life progressed to a diagnosis of comorbid Hirschsprung disease. Congenital cataracts and sensorineural deafness were diagnosed. A liver mass developed and was subsequently confirmed to be a hepatoblastoma, which was treated by means of surgical resection of 70% of the liver volume and neoadjuvant chemotherapy (ifosfamide, cisplatin and doxorubicin). CONCLUSION: It is known that Hirschsprung disease may be associated with syndromes predisposing towards cancer, and that hepatoblastoma may also be associated with certain congenital syndromes. However, co-occurrence of hepatoblastoma and Hirschsprung disease has not been previously described. We have reported a case of a male patient born with ileal atresia, Hirschsprung disease and bilateral congenital cataract who was later diagnosed with hepatoblastoma.
first_indexed 2024-12-13T04:23:02Z
format Article
id doaj.art-8a8f4fddb718435e93c4dce1263f42ef
institution Directory Open Access Journal
issn 1806-9460
language English
last_indexed 2024-12-13T04:23:02Z
publisher Associação Paulista de Medicina
record_format Article
series São Paulo Medical Journal
spelling doaj.art-8a8f4fddb718435e93c4dce1263f42ef2022-12-21T23:59:44ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-9460134217117510.1590/1516-3180.2014.9200311S1516-31802016000200171Hirschsprung disease and hepatoblastoma: case report of a rare associationRaquel Borges PintoAna Regina Lima RamosAriane Nadia BackesBeatriz John dos SantosValentina Oliveira ProvenziMário Rafael CarboneraMaria Lúcia RoenickPedro Paulo Albino dos SantosFabrizia FalhauberMeriene Viquetti de SouzaJoão Vicente BassolsOsvaldo ArtigalásABSTRACT CONTEXT: Hirschsprung disease is a developmental disorder of the enteric nervous system that is characterized by absence of ganglion cells in the distal intestine, and it occurs in approximately 1 in every 500,000 live births. Hepatoblastoma is a malignant liver neoplasm that usually occurs in children aged 6 months to 3 years, with a prevalence of 0.54 cases per 100,000. CASE REPORT: A boy diagnosed with intestinal atresia in the first week of life progressed to a diagnosis of comorbid Hirschsprung disease. Congenital cataracts and sensorineural deafness were diagnosed. A liver mass developed and was subsequently confirmed to be a hepatoblastoma, which was treated by means of surgical resection of 70% of the liver volume and neoadjuvant chemotherapy (ifosfamide, cisplatin and doxorubicin). CONCLUSION: It is known that Hirschsprung disease may be associated with syndromes predisposing towards cancer, and that hepatoblastoma may also be associated with certain congenital syndromes. However, co-occurrence of hepatoblastoma and Hirschsprung disease has not been previously described. We have reported a case of a male patient born with ileal atresia, Hirschsprung disease and bilateral congenital cataract who was later diagnosed with hepatoblastoma.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802016000200171&lng=en&tlng=enHirschsprung diseaseHepatoblastomaIntestinal atresiaHearing loss, sensorineuralCataract
spellingShingle Raquel Borges Pinto
Ana Regina Lima Ramos
Ariane Nadia Backes
Beatriz John dos Santos
Valentina Oliveira Provenzi
Mário Rafael Carbonera
Maria Lúcia Roenick
Pedro Paulo Albino dos Santos
Fabrizia Falhauber
Meriene Viquetti de Souza
João Vicente Bassols
Osvaldo Artigalás
Hirschsprung disease and hepatoblastoma: case report of a rare association
São Paulo Medical Journal
Hirschsprung disease
Hepatoblastoma
Intestinal atresia
Hearing loss, sensorineural
Cataract
title Hirschsprung disease and hepatoblastoma: case report of a rare association
title_full Hirschsprung disease and hepatoblastoma: case report of a rare association
title_fullStr Hirschsprung disease and hepatoblastoma: case report of a rare association
title_full_unstemmed Hirschsprung disease and hepatoblastoma: case report of a rare association
title_short Hirschsprung disease and hepatoblastoma: case report of a rare association
title_sort hirschsprung disease and hepatoblastoma case report of a rare association
topic Hirschsprung disease
Hepatoblastoma
Intestinal atresia
Hearing loss, sensorineural
Cataract
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802016000200171&lng=en&tlng=en
work_keys_str_mv AT raquelborgespinto hirschsprungdiseaseandhepatoblastomacasereportofarareassociation
AT anareginalimaramos hirschsprungdiseaseandhepatoblastomacasereportofarareassociation
AT arianenadiabackes hirschsprungdiseaseandhepatoblastomacasereportofarareassociation
AT beatrizjohndossantos hirschsprungdiseaseandhepatoblastomacasereportofarareassociation
AT valentinaoliveiraprovenzi hirschsprungdiseaseandhepatoblastomacasereportofarareassociation
AT mariorafaelcarbonera hirschsprungdiseaseandhepatoblastomacasereportofarareassociation
AT marialuciaroenick hirschsprungdiseaseandhepatoblastomacasereportofarareassociation
AT pedropauloalbinodossantos hirschsprungdiseaseandhepatoblastomacasereportofarareassociation
AT fabriziafalhauber hirschsprungdiseaseandhepatoblastomacasereportofarareassociation
AT merieneviquettidesouza hirschsprungdiseaseandhepatoblastomacasereportofarareassociation
AT joaovicentebassols hirschsprungdiseaseandhepatoblastomacasereportofarareassociation
AT osvaldoartigalas hirschsprungdiseaseandhepatoblastomacasereportofarareassociation