PT  - JOURNAL ARTICLE
AU  - Park, Jeong H.
AU  - Cho, Wonho
AU  - Kwon, Min A.
TI  - Unexpected extensive hemorrhage from a subcapsular hematoma of the liver during emergent laparotomy in a premature neonate
AID  - 10.15537/smj.2019.8.24376
DP  - 2019 Aug 01
TA  - Saudi Medical Journal
PG  - 836--839
VI  - 40
IP  - 8
4099  - http://smj.org.sa/content/40/8/836.short
4100  - http://smj.org.sa/content/40/8/836.full
SO  - Saudi Med J2019 Aug 01; 40
AB  - A subcapsular hematoma of the liver is often found during autopsy in stillborn infants rather than clinically. It is usually asymptomatic unless ruptured; thus, the diagnosis is often delayed or missed. Rupture of a subcapsular hematoma in a premature neonate causes massive intraabdominal hemorrhage, which is associated with high mortality. Thus, early recognition and treatment to avoid rupture are imperative. We describe a case of life-threatening hemorrhage from a subcapsular hematoma of the liver during emergent laparotomy for mechanical obstruction in an 860 g premature neonate and discuss the appropriate preoperative preparation and anesthetic management for this case.