Liver laceration presented as intraabdominal bleeding in a newborn with hypoxic-ischemic encephalopathy

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY

Case Reports in Perinatal Medicine Pub Date : 2021-01-01 DOI:10.1515/crpm-2021-0043

Turkay Rzayev, Kıvılcım Karadeniz Cerit, N. Yıldız, H. Ozdemi̇r, A. Memişoğlu, H. Bilgen, E. Ozek

引用次数: 0

Abstract

Abstract Objectives Birth injuries usually occur with two different mechanisms: trauma due to mechanic stress during labor and hypoxic-ischemic injury. Sometimes these two mechanisms can occur at the same time with a complex clinical picture. Case presentation The baby girl was born at 372/7 weeks after a prolonged second stage of labor, weighing 3,725 g, and was admitted to the Neonatal Intensive Care Unit with the diagnosis of hypoxic-ischemic encephalopathy. During follow up she developed multiorgan failure and severe anemia. On the third postnatal day, abdominal bleeding was detected. Laceration in the liver capsule was found and appeared to be the source of bleeding. Conclusions Abdominal bleeding secondary to mechanical laceration of the liver is hard to diagnose and may coexist with perinatal asphyxia.

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新生儿缺氧缺血性脑病肝裂伤表现为腹内出血

摘要目的分娩损伤通常有两种不同的机制:分娩过程中的机械应激损伤和缺氧缺血性损伤。有时这两种机制可以同时发生，并伴有复杂的临床症状。该女婴在分娩第二阶段延长372/7周后出生，体重3725 g，被诊断为缺氧缺血性脑病住进新生儿重症监护病房。随访期间，患者出现多器官功能衰竭和严重贫血。产后第三天，腹部出血。肝包膜处发现撕裂伤，似乎是出血的原因。结论机械性肝裂伤继发腹部出血诊断困难，可能并发围产期窒息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Case Reports in Perinatal Medicine OBSTETRICS & GYNECOLOGY-

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期刊介绍： Case Reports in Perinatal Medicine is a double-blind peer-reviewed journal. The objective of the new journal is very similar to that of JPM. In addition to evidence-based studies, practitioners in clinical practice esteem especially exemplary reports of cases that reveal specific manifestations of diseases, its progress or its treatment. We consider case reports and series to be brief reports describing an isolated clinical case or a small number of cases. They may describe new or uncommon diagnoses, unusual outcomes or prognosis, new or infrequently used therapies and side effects of therapy not usually discovered in clinical trials. They represent the basic concept of experiences for studies on representative groups for further evidence-based research. The potential roles of case reports and case series are: Recognition and description of new diseases Detection of drug side effects (adverse or beneficial) Study of mechanisms of disease Medical education and audit Recognition of rare manifestations of disease.