Document Detail

Contribution of surgical evacuation of a large subgaleal hematoma to the resolution of severe conjugated hyperbilirubinemia in a neonate. Case report.
MedLine Citation:
PMID:  17330539     Owner:  NLM     Status:  MEDLINE    
Subgaleal hematomas (SGHs) in neonates may result from trauma to the scalp sustained during delivery. In the majority of cases, these lesions will resolve on their own without serious or long-term consequences. The authors report on a case of SGH resulting in hypotension, anemia, coagulopathy, and eventually direct hyperbilirubinemia in a neonate. After several weeks of medical management failed to resolve the hyperbilirubinemia, surgical evacuation of the clot was undertaken and yielded favorable results. The direct bilirubinemia in this case was believed to be the result of an overload of iron to the hepatocytes. It is the authors' contention that the evacuation of the hematoma resulted in a reduction in the amount of iron being presented to the liver for metabolism and significantly contributed to this patient's recovery.
Thomas D Ryan; Reed A Dimmitt; R Shane Tubbs; O Adetola Roberts; Hanseek Choi; Marios Loukas; Jeffrey P Blount
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  106     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-03-02     Completed Date:  2007-07-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  131-3     Citation Subset:  AIM; IM    
Medical Scientist Training Program, University of Alabama School of Medicine, Birmingham, USA.
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MeSH Terms
Anemia / etiology
Birth Injuries / surgery*
Blood Coagulation Disorders / etiology
Follow-Up Studies
Hematoma / surgery*
Hyperbilirubinemia, Neonatal / etiology,  therapy*
Hypotension / etiology
Infant, Newborn
Iron Overload / etiology
Scalp / injuries*
Vacuum Extraction, Obstetrical / adverse effects

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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