Severe Consumptive Coagulopathy in an Extremely-Low-Birth-Weight Infant with Intra-Abdominal Umbilical Vein Varix: A Case Report
| Autor: | Tsuguhiro Horikoshi, Kanako Itoh, Mitsuhiro Haga, Fumihiko Namba, Kazuhiko Kabe |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
extremely-low-birth-weight infants intracranial hemorrhages Case Report Umbilical vein 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine consumptive coagulopathy Consumptive Coagulopathy medicine Coagulopathy 030219 obstetrics & reproductive medicine Varix Obstetrics business.industry intra-abdominal umbilical vein varix Obstetrics and Gynecology Gynecology and obstetrics medicine.disease Pediatrics Perinatology and Child Health Umbilical vein varix RG1-991 Gestation Literature survey business Varices |
| Zdroj: | AJP Reports American Journal of Perinatology Reports, Vol 11, Iss 02, Pp e76-e79 (2021) |
| ISSN: | 2157-7005 2157-6998 |
| Popis: | Recent studies have shown favorable outcomes for intra-abdominal umbilical vein varices (IUVVs) in term neonates who have no other complications. Little is known, however, about the prognosis of IUVVs in preterm neonates. We encountered a case of IUVV in an extremely low-birth-weight infant who developed severe consumptive coagulopathy after birth. The patient's coagulation test normalized as the varix spontaneously obstructed. Although life-threatening hemorrhagic complications were avoided, a cerebellum hemorrhage was found in the brain magnetic resonance imaging at the term-equivalent age. In a literature survey, coagulopathy was reported in 4 out of 15 infants with IUVVs born before 34 weeks of gestation, including our present case. Preterm infants with IUVVs may develop coagulopathy because of the prematurity of their coagulation–fibrinolysis systems. Attention should be given to the coagulation status of preterm neonates with IUVVs. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|