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Traumatic delivery: a risk factor for bleeding during ECMO?

W J O'Brien1, D Von Allmen, F C Ryckman

  • 1Department of Surgery, University of Cincinnati College of Medicine, Children's Hospital Medical Center, OH 45229-3039.

Journal of Pediatric Surgery
|July 1, 1994
PubMed
Summary
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Traumatic deliveries can cause injuries, and anticoagulation for extracorporeal membrane oxygenation (ECMO) may increase bleeding risks. This case highlights a rare delayed hemoperitoneum from liver injury after ECMO, emphasizing careful monitoring.

Area of Science:

  • Neonatal care
  • Pediatric surgery
  • Trauma management

Background:

  • Traumatic birth injuries can affect orthopedic, nervous, and soft tissues.
  • Extracorporeal membrane oxygenation (ECMO) requires anticoagulation, increasing bleeding risks.
  • Hemorrhage is a known complication of birth trauma and anticoagulation.

Observation:

  • A neonate developed delayed hemoperitoneum.
  • The cause was a hepatic laceration sustained during delivery.
  • The patient received extracorporeal membrane oxygenation (ECMO) support.

Findings:

  • This case represents a previously unreported instance of delayed hemoperitoneum.
  • Hepatic laceration as a cause of delayed hemoperitoneum in the context of ECMO is rare.

Related Experiment Videos

  • The presentation underscores the potential for delayed intra-abdominal bleeding post-birth trauma.

    • Implications:

    • Highlights the importance of vigilant monitoring for delayed hemorrhage in neonates with birth injuries on ECMO.
    • Suggests a need for careful consideration of anticoagulation management in this high-risk population.
    • Informs clinical practice regarding the diagnosis and management of rare post-delivery complications.