A case of delayed hemorrhage of a subcapsular liver
hematoma in a neonate |
Soo Kyoung Moon1, Tae Suk Lee2, Hye Sun Yoon1 |
1Department of Pediatrics, School of Medicine, Eulji University, Seoul, Korea 2Department of Surgery, School of Medicine, Eulji University, Seoul, Korea |
신생아에서 발생한 대량 피막하 간 혈종의지연성 파열 1례 |
문수경1, 이태석2, 윤혜선1 |
1을지대학교 의과대학 소아과학교실 2을지대학교 의과대학 외과학교실 |
Correspondence:
Hye Sun Yoon, Email: yhs3211@eulji.ac.kr |
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Abstract |
A subcapsular liver hematoma (SLH) is a relatively common lesion in fetuses and neonates. Although an SLH ruptures rarely, it may be life threatening. We report on a term neonate with a delayed rupture of an SLH that occurred on day 7 of life. The infant had been resuscitated with intubation, positive pressure ventilation, and chest compression at birth because of meconium-associated perinatal depression. The SLH was diagnosed by abdominal ultrasonography and paracentesis, and the ruptured SLH was treated operatively. After intensive medical and surgical management, the infant was discharged healthy on day 27 of life. A newborn infant presenting with the sudden onset of extreme shock and pallor associated with abdominal distension should undergo differential diagnosis for SLH and a clinical evaluation concurrent with fluid resuscitation and timely surgery. |
Key Words:
Subcapsular liver hematoma (SLH), Neonate |
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