Neonatal hemoperitoneum caused by a congenital liver angioma

Severe intraabdominal bleeding in neonates within 24 hours after birth are an extremely seldom event. In our neonate, the intraabdominal bleeding was diagnosed by the clinical picture and by abdominal ultrasound examination. The etiology for this bleeding was primarily a blunt abdominal trauma as de...

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Bibliographic Details
Published in:Journal of pediatric surgery 2004-02, Vol.39 (2), p.234-236
Main Authors: Metzelder, Martin L, Springer, Alexander, August, Christian, Willital, Gunter H
Format: Article
Language:English
Subjects:
Abdomen
Abdominal Injuries - complications
Adrenal Glands - blood supply
Biological and medical sciences
cavernous liver angioma
Delivery, Obstetric
Gastroenterology. Liver. Pancreas. Abdomen
General aspects
Hemangioma, Cavernous - complications
Hemangioma, Cavernous - congenital
Hemangioma, Cavernous - surgery
Hemoperitoneum - etiology
Hemoperitoneum - surgery
Hemophilia A - complications
Hemorrhage - etiology
Hemorrhage - surgery
Hepatectomy
Humans
Infant, Newborn
Ligation
Liver Neoplasms - complications
Liver Neoplasms - congenital
Liver Neoplasms - surgery
Liver, biliary tract, pancreas, portal circulation, spleen
Male
Medical sciences
neonatal abdominal hemorrhage
Other diseases. Semiology
Rupture of the liver
Rupture, Spontaneous
Shock, Hemorrhagic - etiology
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
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Description
Summary:Severe intraabdominal bleeding in neonates within 24 hours after birth are an extremely seldom event. In our neonate, the intraabdominal bleeding was diagnosed by the clinical picture and by abdominal ultrasound examination. The etiology for this bleeding was primarily a blunt abdominal trauma as described in most cases of the liver; however, histology showed a congenital cavernous angioma of the liver resulting in a different tensile strength of this part of the liver in comparison with the rest of the liver tissue. Therefore, a relatively blunt abdominal trauma caused a rupture of the liver in a histologically altered part, which histologically was found to be a relatively soft and fragile tumor of the liver.
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2003.10.020