Costa Simonetta, De Carolis Maria Pia, Savarese Immacolata, Lacerenza Serafina, Romagnoli Costantino
Division of Neonatology, Department of Paediatrics, University Hospital Agostino Gemelli-Catholic University Sacred Heart, Largo Agostino Gemelli 8, 00168 Rome, Italy.
Eur J Pediatr. 2008 May;167(5):591-3. doi: 10.1007/s00431-007-0518-8. Epub 2007 Jun 1.
Hepatic hematomas in neonates are uncommon lesions. When they are large or subcapsular in location, they can rupture with clinical signs of hemoperitoneum. We report a case of subcapsular hepatic hematoma (SHH) associated with a high level of alpha-fetoprotein (AFP), for which diagnosis was made with conservative management, following up with the reduction in size at ultrasound examination and the reduction of the level of AFP.
新生儿肝血肿是罕见的病变。当它们体积较大或位于包膜下时,可能会破裂并出现腹腔积血的临床体征。我们报告一例与高水平甲胎蛋白(AFP)相关的包膜下肝血肿(SHH)病例,通过保守治疗进行诊断,超声检查随访显示其大小缩小,AFP水平降低。