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[Hemoperitoneum in the newborn infant]

K Menzel, W Niedner, B Töpke

    Zentralblatt Fur Gynakologie
    |January 1, 1977
    PubMed
    Summary

    Massive intraabdominal hemorrhages occurred in 0.13% of newborns, primarily affecting premature infants with respiratory distress. Researchers suggest replacing "abdominal birth injury" with "Neonatal hemoperitoneum" for these liver-related bleeding cases.

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    Clinical and experimental immunology·2006

    Area of Science:

    • Neonatal medicine
    • Pediatric surgery
    • Gastroenterology

    Context:

    • Massive intraabdominal hemorrhages are rare but serious complications in newborns.
    • Distinguishing traumatic birth injuries from spontaneous events is crucial for accurate diagnosis and management.
    • Previous terminology may not fully capture the etiology of these bleeds.

    Purpose:

    • To investigate the incidence and origin of massive intraabdominal hemorrhages in a large cohort of term and preterm newborns.
    • To evaluate the role of liver origin in these hemorrhages, particularly in premature infants with respiratory distress.
    • To propose revised terminology for these neonatal conditions.

    Summary:

    • A study of 46,272 newborns identified 6 cases (0.13%) of massive intraabdominal hemorrhages.
    • The liver was the source of hemorrhage in 5 cases, with 4 occurring in premature newborns experiencing severe respiratory distress.
    • Organic lesions or traumatic causes were identified in only 2 cases, suggesting non-traumatic origins.

    Impact:

    • This research advocates for the term "Neonatal hemoperitoneum" to replace "abdominal birth injury" in cases of spontaneous intraabdominal bleeding.
    • Improved diagnostic accuracy and targeted management strategies for neonatal intraabdominal hemorrhages can be facilitated by precise terminology.
    • Understanding the non-traumatic origins of these bleeds is vital for improving outcomes in critically ill newborns.

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