Unexpected birth trauma with near fatal consequences
| Autor: | B. J. Hartman, E. L.I.M. Duval, D. C. Van Der Zee |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Birth trauma medicine.medical_treatment Gestational Age Hemorrhage Risk Assessment Sepsis Injury Severity Score Pregnancy Birth Injuries medicine Humans Rupture Spontaneous business.industry Liver Diseases Infant Newborn Gestational age medicine.disease Birth injury Treatment Outcome Shock (circulatory) Emergency Medicine Female medicine.symptom business Fluid replacement Follow-Up Studies |
| Zdroj: | European journal of emergency medicine : official journal of the European Society for Emergency Medicine. 7(2) |
| ISSN: | 0969-9546 |
| Popis: | Rupturing of the liver due to delivery is an uncommon but severe birth trauma. Although described in the preterm neonate with very low birthweight or after complicated delivery, we present a case of capsular liver haemorrhage in a term newborn with normal birthweight after a seemingly uncomplicated delivery. The infant presented with severe shock and petechiae as first symptoms and initial therapy was based on the hypothesis of sepsis. Clinical suspicion of liver haemorrhage a few hours later was confirmed with abdominal ultrasound. Since shock was not amenable to fluid replacement therapy, the haemorrhage had to be managed surgically. Even without evidence of birth trauma, intra-abdominal bleeding must always be suspected in a newborn with suddenly prevailing shock and unexpected anaemia. |
| Databáze: | OpenAIRE |
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