Neonatal Hemoperitoneum Secondary to Hemorrhage from Omental Venous Malformation

Hemoperitoneum in the neonate is uncommon. We report our experience with a neonate who suddenly developed hemoperitoneum in late gestation. Ascites with right pleural effusion initially suggested fetal hydrops. However, a decrease in hemoglobin with bloody ascites from the paracentesis gave the impr...

Full description

Saved in:
Bibliographic Details
Published inPediatrics and neonatology Vol. 56; no. 6; pp. 422 - 424
Main Authors Nam, So-Hyun, Koo, Soo Hyun, Chung, Mi Lim, Jung, Yu Jin, Cho, Hyun Jin, Kim, Ji Yeon
Format Journal Article
LanguageEnglish
Published Singapore Elsevier 01.12.2015
Subjects
Female
hemoperitoneum
Hemoperitoneum - etiology
Humans
Infant, Newborn
Internal Medicine
neonate
omentum
Omentum - blood supply
Pediatrics
Vascular Malformations - complications
Vascular Malformations - diagnosis
venous malformation
hemoperitoneum
neonate
omentum
venous malformation
Online AccessGet full text

Cover

More Information
Summary:Hemoperitoneum in the neonate is uncommon. We report our experience with a neonate who suddenly developed hemoperitoneum in late gestation. Ascites with right pleural effusion initially suggested fetal hydrops. However, a decrease in hemoglobin with bloody ascites from the paracentesis gave the impression of hemoperitoneum. Ultrasonography and computed tomography showed no abnormality in the solid organs. Using 3-mm laparoscopic exploration, we found the omental mass and excised it. It was histologically confirmed as a venous malformation. Venous malformation of the omentum with significant bleeding requiring exploration is a very rare condition in the neonate, but it should be considered as a cause of neonatal hemoperitoneum.
ISSN:1875-9572
2212-1692
DOI:10.1016/j.pedneo.2013.04.007