J Korean Soc Neonatol.  2001 May;8(1):145-149.

One Case of Subcapsular Hematoma with Persistent Neonatal Hyperbilirubinemia

• Son SH
• Nam KA
• Choi JY
• Kim MJ
• Seo SS
• Kweon JM

Abstract

A neonate may incur liver injury during spontaneous delivery. The liver is the organ most likely to be injured during the birth process. Breech presentation and manipulation are the most common causes of hepatic trauma. However, hepatic hemorrhage can occur in any infant, regardless of size and the type of delivery. Infants with subcapsular hemorrhage are usually asymptomatic at birth, and gross hepatic rupture from these lesions is unusual. In patient with primary rupture, major bleeding takes place immediately, explaining the high percentage of neonatal deaths with massive liver rupture. If subcapsular hemorrhage remain intracapsular with spontaneous resolution, the only treatment needed in subcapsular hemorrhage may be transfusion. We experienced one case of neonatal subcapsular hemorrhage with persistent hyperbilirubinemia. We report this case with the brief review of related literature.

Keyword

Neonatal hepatic subcapsular hemorrhage; Hyperbilirubinemia

MeSH Terms

Breech Presentation
Female
Hematoma*
Hemorrhage
Humans
Hyperbilirubinemia
Hyperbilirubinemia, Neonatal*
Infant
Infant, Newborn
Liver
Parturition
Pregnancy
Rupture