RT Journal Article
SR Electronic
T1 Unexpected extensive hemorrhage from a subcapsular hematoma of the liver during emergent laparotomy in a premature neonate
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 836
OP 839
DO 10.15537/smj.2019.8.24376
VO 40
IS 8
A1 Park, Jeong H.
A1 Cho, Wonho
A1 Kwon, Min A.
YR 2019
UL http://smj.org.sa/content/40/8/836.abstract
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.