Document Detail

Unexpected birth trauma with near fatal consequences.
MedLine Citation:
PMID:  11132078     Owner:  NLM     Status:  MEDLINE    
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.
B J Hartman; D C Van Der Zee; E L Duval
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
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:
Created Date:  2000-12-22     Completed Date:  2001-03-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9442482     Medline TA:  Eur J Emerg Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  151-4     Citation Subset:  IM    
Department of Anaesthesiology of the University Hospital of Utrecht, The Netherlands.
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MeSH Terms
Birth Injuries / diagnosis*
Follow-Up Studies
Gestational Age
Hemorrhage / diagnosis*,  etiology,  surgery
Infant, Newborn
Injury Severity Score
Liver Diseases / diagnosis*,  etiology,  surgery
Risk Assessment
Rupture, Spontaneous / diagnosis,  surgery
Treatment Outcome

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