Metzelder Martin L, Springer Alexander, August Christian, Willital Gunter H
Department of Pediatric Surgery, University Clinics Münster, Westfälische-Wilhelms University, Münster, Germany.
J Pediatr Surg. 2004 Feb;39(2):234-6. doi: 10.1016/j.jpedsurg.2003.10.020.
Severe intraabdominal bleeding in neonates within 24 hours after birth are an extremely seldom event. In our neonate, the intraabdominal bleeding was diagnosed by the clinical picture and by abdominal ultrasound examination. The etiology for this bleeding was primarily a blunt abdominal trauma as described in most cases of the liver; however, histology showed a congenital cavernous angioma of the liver resulting in a different tensile strength of this part of the liver in comparison with the rest of the liver tissue. Therefore, a relatively blunt abdominal trauma caused a rupture of the liver in a histologically altered part, which histologically was found to be a relatively soft and fragile tumor of the liver.
新生儿出生后24小时内发生严重腹腔内出血是极为罕见的事件。在我们的这名新生儿中，腹腔内出血是通过临床表现和腹部超声检查诊断出来的。这种出血的病因主要是腹部钝性创伤，大多数肝脏病例均如此；然而，组织学检查显示为肝脏先天性海绵状血管瘤，与肝脏其他组织相比，该部分肝脏的抗张强度有所不同。因此，相对钝性的腹部创伤导致组织学改变部位的肝脏破裂，组织学检查发现这是一个相对柔软且脆弱的肝脏肿瘤。
