An 18 months old male child presented with an accidentally detected abdominal mass. Radiological examination with a triphasic computerized tomography (CT) scan showed multifocal masses in segments IVB, V, VI, and VIII of the liver with associated an extrahepatic extension. The serum alpha-fetoprotein (AFP) was 7,109 ng/ml [normal: 0-9 ng/ml]. The staging assigned was PRETEXT IIIE. An image-guided biopsy was suggestive of fetal epithelial type hepatoblastoma. The patient received six cycles of superPLADO chemotherapy i.e., cisplatin, doxorubicin, and carboplatin. A response evaluation after completion of chemotherapy revealed a fall in AFP levels to 4,049 ng/ml and a marginal decrease in size on CT scan (POSTEXT III). Extended right hepatectomy was planned, however, the estimated future liver remnant (FLR) was 26.8% of the liver volume. In view of the borderline FLR, a preoperative portal vein embolization (PVE) was considered to reduce the chance of postoperative liver failure. A 4F catheter was used for PVE with polyvinyl alcohol (PVA) particle of the right branch and one more cycle of chemotherapy was offered as a bridge to surgery. After 25 days the FLR enlarged to 50% of the liver volume with a volume gain of 104% and kinetic growth rate of 5.8% per week (Figure 1). An extended right hepatectomy was performed. The liver parenchyma was transected with a combination of Kelly clysis and harmonic scalpel. The right hepatic duct was secured further to the confluence of the bile duct and the integrity of the left duct was ensured. The postoperative recovery was uneventful and the child was discharged on the seventh postoperative day. The histopathology revealed residual mitotically active fetal type hepatoblastoma with minimal response to chemotherapy (99% viable tumor). The resection margins were more than 2 cm away and free of tumor cells. The child presented with fever, four weeks after the surgery. Ultrasonography (USG) revealed a cystic collection in the hepatorenal pouch for which a percutaneous drainage catheter was placed which drained bile. The biliary leak persisted with no regression in the daily drain output (>100 ml/day). A hepatobiliary iminodiacetic acid (HIDA) scan was undertaken to identify the site of the leak which revealed bile leak from the hilum. A percutaneous transhepatic biliary drainage (PTBD) was attempted for diversion of the bile from the hilum, however, it was unsuccessful. An endoscopic retrograde cholangiopancreatography (ERCP) and a plastic stent were placed in the left hepatic duct, however, the bile leak persisted (Figure 2). With the failure of conservative, endoscopic, and percutaneous procedures surgery was offered. On exploration, the stent was found protruding into the peritoneal cavity at the hepatic duct confluence (Figure 3). The hilar structures were meticulously dissected amidst the severe inflammation secondary to bile leak. The caliber of the hepatic duct was 1.5 mm and under magnification side to side Roux-en-Y hepaticojejunostomy with 7-0 polypropylene sutures was performed. Due to the fragile nature of tissues, a PTBD was attempted intraoperatively to reinforce the anastomosis. After successful cannulation of the biliary system, an interno-external stent was placed across the anastomosis (Figure 4). The bile leak stopped postoperatively and the child recovered well. The child completed the remaining three cycles of adjuvant chemotherapy and is disease free at 2 years after completion of treatment.