A neonate who survived an emergency liver injury operation after being delivered in an ambulance

DOI

Bibliographic Information

Other Title
  • 救急車内分娩後の新生児肝損傷に対し開腹手術で救命できた1例

Search this article

Abstract

<p> The patient was a girl, at 38 week’s gestation, born in the breech presentation with a prolapsed umbilical cord. Immediately after birth, cardiopulmonary resuscitation was performed. On admission to our NICU, because severe metabolic acidosis and convulsions were observed, She was diagnosed with hypoxic encephalopathy. Therefore, hypothermia therapy was initiated. At day 1, hypotension and anemia were observed, and abdominal ultrasonography revealed a hematoma of approximately 3 cm in the right lobe of the liver, the patient was then referred to our department. Her vitals were not stable, and the hypothermia therapy was discontinued on day 2, judging that it would be difficult to continue with conservative treatment, emergency surgery was performed. When the abdomen was opened, a ruptured area was found in the posterior region of the right lobe of the liver, which was judged to be the source of the bleeding. An absorbable hemostatic agent was applied to the injured area, and the bleeding was controlled by manual compression hemostasis. Oral intake was started on the 11th postoperative day, and the patient was discharged on the 36th day. Therefore, we believe it is important to perform surgical treatment of liver injury in neonates while working in close collaboration with other departments such as pediatrics and radiology for optimal treatment.</p>

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top