Liver laceration presented as intraabdominal bleeding in a newborn with hypoxic-ischemic encephalopathy

• Published in: Case reports in perinatal medicine Vol. 10; no. 1
• Main Authors: Rzayev, Turkay, Karadeniz Cerit, Kivilcim, Yildiz, Nurdan, Ozdemir, Hulya, Memisoglu, Asli, Bilgen, Hulya, Ozek, Eren
• Format: Journal Article
• Language: English
• Published: Berlin De Gruyter 01.01.2021; Walter de Gruyter GmbH
• Subjects: Abdomen; Babies; Birth injuries; Birth injury; Blood platelets; Brain damage; Case reports; Catheters; Childbirth & labor; Creatinine; Hematoma; Hypothermia; Hypoxia; hypoxic-ischemic encephalopathy; Intensive care; Liver; liver laceration; Magnetic resonance imaging; Medicine; Morbidity; Mortality; neonate; Newborn babies; Pediatrics; Peritoneal dialysis; Trauma; University faculty; Urine
• ISSN: 2192-8932; 2192-8959
• DOI: 10.1515/crpm-2021-0043

Abstract Objectives Birth injuries usually occur with two different mechanisms: trauma due to mechanic stress during labor and hypoxic-ischemic injury. Sometimes these two mechanisms can occur at the same time with a complex clinical picture. Case presentation The baby girl was born at 37 2/7 weeks after a prolonged second stage of labor, weighing 3,725 g, and was admitted to the Neonatal Intensive Care Unit with the diagnosis of hypoxic-ischemic encephalopathy. During follow up she developed multiorgan failure and severe anemia. On the third postnatal day, abdominal bleeding was detected. Laceration in the liver capsule was found and appeared to be the source of bleeding. Conclusions Abdominal bleeding secondary to mechanical laceration of the liver is hard to diagnose and may coexist with perinatal asphyxia.