| Unexpected birth trauma with near fatal consequences. | |
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MedLine Citation:
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PMID: 11132078 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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B J Hartman; D C Van Der Zee; E L Duval |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: European journal of emergency medicine : official journal of the European Society for Emergency Medicine Volume: 7 ISSN: 0969-9546 ISO Abbreviation: Eur J Emerg Med Publication Date: 2000 Jun |
Date Detail:
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Created Date: 2000-12-22 Completed Date: 2001-03-08 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9442482 Medline TA: Eur J Emerg Med Country: England |
Other Details:
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Languages: eng Pagination: 151-4 Citation Subset: IM |
Affiliation:
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Department of Anaesthesiology of the University Hospital of Utrecht, The Netherlands. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Birth Injuries
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diagnosis* Female Follow-Up Studies Gestational Age Hemorrhage / diagnosis*, etiology, surgery Humans Infant, Newborn Injury Severity Score Liver Diseases / diagnosis*, etiology, surgery Male Pregnancy Risk Assessment Rupture, Spontaneous / diagnosis, surgery Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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