Hepatic Subcapsular Hematoma: Two Neonates With Disparate Presentations
Subcapsular hematoma of the liver rarely occurs in neonates and the diagnosis is often missed or delayed. We report two babies who had this uncommon condition in the early neonatal period. In the first baby, the hematoma was associated with ventouse delivery and presented with abdominal distension a...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2012-04-01
|
| Series: | Pediatrics and Neonatology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1875957212000149 |
| _version_ | 1819180519517061120 |
|---|---|
| author | Maliyackel Aiyappanpillai Anjay Chaniyil Krishnan Sasidharan Parameswaran Anoop |
| author_facet | Maliyackel Aiyappanpillai Anjay Chaniyil Krishnan Sasidharan Parameswaran Anoop |
| author_sort | Maliyackel Aiyappanpillai Anjay |
| collection | DOAJ |
| description | Subcapsular hematoma of the liver rarely occurs in neonates and the diagnosis is often missed or delayed. We report two babies who had this uncommon condition in the early neonatal period. In the first baby, the hematoma was associated with ventouse delivery and presented with abdominal distension and worsening jaundice. In contrast, the other baby was relatively well, with progressive pallor as the only clinical finding. The former had no other identifiable risk factors, whereas the latter was confirmed as having classical hemophilia. The literature is briefly reviewed with regards to incidence, etiology, diagnosis and management. Awareness of this unusual entity coupled with a high index of suspicion is essential for early identification and stabilization of such babies. |
| first_indexed | 2024-12-22T22:15:38Z |
| format | Article |
| id | doaj.art-9cbb18fd6fdc4d2ea35b505026e64eac |
| institution | Directory Open Access Journal |
| issn | 1875-9572 |
| language | English |
| last_indexed | 2024-12-22T22:15:38Z |
| publishDate | 2012-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Pediatrics and Neonatology |
| spelling | doaj.art-9cbb18fd6fdc4d2ea35b505026e64eac2022-12-21T18:10:47ZengElsevierPediatrics and Neonatology1875-95722012-04-0153214414610.1016/j.pedneo.2012.01.013Hepatic Subcapsular Hematoma: Two Neonates With Disparate PresentationsMaliyackel Aiyappanpillai Anjay0Chaniyil Krishnan Sasidharan1Parameswaran Anoop2Department of Paediatrics, Great Ormond Street Hospital, London, UKDepartment of Neonatology, Baby Memorial Hospital, Calicut, IndiaDepartment of Paediatric Haematology, Great Ormond Street Hospital, London, UKSubcapsular hematoma of the liver rarely occurs in neonates and the diagnosis is often missed or delayed. We report two babies who had this uncommon condition in the early neonatal period. In the first baby, the hematoma was associated with ventouse delivery and presented with abdominal distension and worsening jaundice. In contrast, the other baby was relatively well, with progressive pallor as the only clinical finding. The former had no other identifiable risk factors, whereas the latter was confirmed as having classical hemophilia. The literature is briefly reviewed with regards to incidence, etiology, diagnosis and management. Awareness of this unusual entity coupled with a high index of suspicion is essential for early identification and stabilization of such babies.http://www.sciencedirect.com/science/article/pii/S1875957212000149birth traumahepatic subcapsular hematomaneonatal jaundice |
| spellingShingle | Maliyackel Aiyappanpillai Anjay Chaniyil Krishnan Sasidharan Parameswaran Anoop Hepatic Subcapsular Hematoma: Two Neonates With Disparate Presentations Pediatrics and Neonatology birth trauma hepatic subcapsular hematoma neonatal jaundice |
| title | Hepatic Subcapsular Hematoma: Two Neonates With Disparate Presentations |
| title_full | Hepatic Subcapsular Hematoma: Two Neonates With Disparate Presentations |
| title_fullStr | Hepatic Subcapsular Hematoma: Two Neonates With Disparate Presentations |
| title_full_unstemmed | Hepatic Subcapsular Hematoma: Two Neonates With Disparate Presentations |
| title_short | Hepatic Subcapsular Hematoma: Two Neonates With Disparate Presentations |
| title_sort | hepatic subcapsular hematoma two neonates with disparate presentations |
| topic | birth trauma hepatic subcapsular hematoma neonatal jaundice |
| url | http://www.sciencedirect.com/science/article/pii/S1875957212000149 |
| work_keys_str_mv | AT maliyackelaiyappanpillaianjay hepaticsubcapsularhematomatwoneonateswithdisparatepresentations AT chaniyilkrishnansasidharan hepaticsubcapsularhematomatwoneonateswithdisparatepresentations AT parameswarananoop hepaticsubcapsularhematomatwoneonateswithdisparatepresentations |