Subcapsular Hemorrhage of the Liver in the Very Low Birthweight Neonate
作者:
S. SHANKARAN,
E. ELIAS,
N. ILAGAN,
期刊:
Acta Pædiatrica
(WILEY Available online 1991)
卷期:
Volume 80,
issue 6‐7
页码: 616-619
ISSN:0803-5253
年代: 1991
DOI:10.1111/j.1651-2227.1991.tb11919.x
出版商: Blackwell Publishing Ltd
关键词: subcapsular hemorrhage;liver;very low birthweight neonate
数据来源: WILEY
摘要:
ABSTRACT.Between 1974 and 1989, 15 neonates were found, at autopsy, to have subcapsular hematoma of the liver in a retrospective clinicopathologic study of 644 neonates. The majority (75 %) of the neonates were<28 weeks gestation, male gender, and were delivered by the vaginal route following a complicated pregnancy and labor including malpresentation. The clinical course included resuscitation at birth, ventilatory support and hypovolemic shock with death occurring within 24 hours in 11 neonates. Other clinical events included air leak (n=4 infants) and infection (n=4). Intracranial hemorrhage was suspected in all but was found at autopsy in 8 neonates. The subcapsular hematoma was intact in 7 and ruptured in 8 neonates. Hence, subcapsular hemorrhage of the liver should be considered in the differential diagnosis of hypovolemic shock in very low birthweight infants.
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