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A case of delayed hemorrhage of a subcapsular liver hematoma in a neonate

Korean Journal of Pediatrics 2008;51(1):89-92.
Published online January 15, 2008.
A case of delayed hemorrhage of a subcapsular liver hematoma in a neonate
Soo Kyoung Moon1, Tae Suk Lee2, Hye Sun Yoon1
1Department of Pediatrics, School of Medicine, Eulji University, Seoul, Korea
2Department of Surgery, School of Medicine, Eulji University, Seoul, Korea
신생아에서 발생한 대량 피막하 간 혈종의지연성 파열 1례
문수경1, 이태석2, 윤혜선1
1을지대학교 의과대학 소아과학교실
2을지대학교 의과대학 외과학교실
Correspondence: 
Hye Sun Yoon, Email: yhs3211@eulji.ac.kr
Abstract
A subcapsular liver hematoma (SLH) is a relatively common lesion in fetuses and neonates. Although an SLH ruptures rarely, it may be life threatening. We report on a term neonate with a delayed rupture of an SLH that occurred on day 7 of life. The infant had been resuscitated with intubation, positive pressure ventilation, and chest compression at birth because of meconium-associated perinatal depression. The SLH was diagnosed by abdominal ultrasonography and paracentesis, and the ruptured SLH was treated operatively. After intensive medical and surgical management, the infant was discharged healthy on day 27 of life. A newborn infant presenting with the sudden onset of extreme shock and pallor associated with abdominal distension should undergo differential diagnosis for SLH and a clinical evaluation concurrent with fluid resuscitation and timely surgery.
Key Words: Subcapsular liver hematoma (SLH), Neonate


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