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2015 ; 2015
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A newborn with massive intra-abdominal haemorrhage
#MMPMID26336185
Majjiga VS
; Bhatt N
; Kavianian A
; Batton B
BMJ Case Rep
2015[Sep]; 2015
(ä): ä PMID26336185
show ga
We describe an unusual case of an intra-abdominal teratoma with massive bleeding
presenting as sudden cardiovascular collapse immediately after birth. The infant
required massive volume and blood product transfusion, alongside emergent tumour
resection, in order to obtain haemostasis and haemodynamic stabilisation.
Haemorrhage of a sacrococcygeal teratoma is a known entity, but we are not aware
of a previous report of massive intra-abdominal haemorrhage due to a teratoma,
immediately after birth. This case emphasises the need to consider
intra-abdominal pathology, including a teratoma, in the differential diagnosis of
any newborn with early hypovolaemic shock and abdominal distention.
|Abdominal Cavity/pathology
[MESH]
|Apgar Score
[MESH]
|Blood Transfusion
[MESH]
|Diagnosis, Differential
[MESH]
|Female
[MESH]
|Hemoperitoneum/diagnosis/*etiology
[MESH]
|Humans
[MESH]
|Infant, Newborn
[MESH]
|Neoplasms, Germ Cell and Embryonal/*complications/*diagnosis/pathology/surgery
[MESH]