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A newborn with massive intra-abdominal haemorrhage
Venkata Sasidhar Majjiga1, Nidhi Bhatt1, Ali Kavianian2
1Department of Pediatrics, Southern Illinois School of Medicine, Springfield, Illinois, USA.
BMJ Case Reports
|September 4, 2015
Summary
A rare intra-abdominal teratoma caused sudden cardiovascular collapse in a newborn due to massive bleeding. Prompt surgery and transfusions were crucial for survival, highlighting the need for early diagnosis.
Area of Science:
- Pediatric Surgery
- Neonatal Medicine
- Oncology
Background:
- Teratomas are germ cell tumors that can occur in various locations.
- Sacrococcygeal teratomas are the most common congenital tumors, but intra-abdominal teratomas are less frequent.
- Hemorrhage from teratomas, particularly sacrococcygeal, is a known complication.
Observation:
- An unusual case of an intra-abdominal teratoma presenting with massive bleeding immediately after birth.
- The neonate experienced sudden cardiovascular collapse requiring immediate resuscitation.
- Clinical presentation included abdominal distention and signs of hypovolemic shock.
Findings:
- The infant required massive volume and blood product transfusion.
- Emergent tumor resection was necessary to achieve hemostasis and hemodynamic stabilization.
- This represents a rare instance of massive intra-abdominal hemorrhage from a teratoma presenting immediately postpartum.
Implications:
- This case underscores the importance of considering intra-abdominal teratomas in the differential diagnosis of neonatal hypovolemic shock.
- Early recognition and prompt surgical intervention are critical for managing this life-threatening condition.
- Highlights the need for increased awareness among neonatologists and pediatric surgeons regarding this rare presentation.
