Perinatology.  2020 Dec;31(4):231-235. 10.14734/PN.2020.31.4.231.

Hepatic Subcapsular Hematoma with Different Clinical Features in Two Neonates

• Oh Y
• Lim G
• Oh KW

• KMID: 2510398
• DOI: http://doi.org/10.14734/PN.2020.31.4.231

Abstract

The liver of a newborn is vulnerable to damage during the process of delivery or on external manipu lation. Although hepatic subcapsular hematoma occurs relatively commonly in the perinatal period, it is clinically unnoticeable in the majority of the cases. We report two cases of hepatic subcapsular hematoma in neonates who presented with different clinical features. The first newborn was a macro somic full-term infant. He presented with severe hyperbilirubinemia, requiring intensive photothe rapy and exchange transfusion twice within 8 days of life. In contrast, the other baby was a very lowbirth-weight preterm infant, resuscitated with endotracheal intubation and chest compression due to asphyxia. He presented with severe pallor, uncontrolled bleeding tendency, and hemorrhagic shock which suddenly lead to catastrophic result. Identifying the high-risk patients and various clinical cha racteristics is crucial for the early detection and proper management of hepatic subcapsular hema toma in newborns.

Keyword

Hematoma; Liver; Jaundice; Hemorrhagic shock