PMC3754395_01
Figure 1: a) Significant abdominal distension with thin venous vessels on abdominal skin was noticed b) computed tomography scan revealed massive hepatomegaly and right adrenal tumor mass c) tumor mass just close to liver and massive hepatomegaly view in operation.
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F1
 On admission to our NICU, he had respiratory distress with 40% O2 requirement and significant abdominal distension with visible thin venous vessels through his abdominal skin (Fig. 1a). The patient was accepted as chemotherapy-resistant NBL due to clinical deterioration with massive liver involvement on the 3rd day of treatment and surgical excision was performed (Fig. 1b, 1c).