Miller B M, Yoon J J, Kim M H, Gheewala A
Clin Pediatr (Phila). 1987 Jun;26(6):316-8. doi: 10.1177/000992288702600611.
Intra-abdominal hemorrhage in the newborn is uncommon, but it must be considered in the first 48 hours of life in the infant with pallor, anemia, abdominal distension, and shock. The injured liver is the most common source of bleeding, with the spleen and kidney less often involved. In the case presented, the hallmarks of intra-abdominal hemorrhage were evident. Exploratory laparotomy revealed intraperitoneal bleeding emanating from the disruption of the umbilical vein and its enveloping falciform ligament. There was no other site of intra-abdominal bleeding and there were no intrinsic abnormalities of the umbilical cord or the placenta. Disruption of the intra-abdominal umbilical vein represented the sole source of intra-abdominal bleeding in this patient. The case is reported to document disruption of the intra-abdominal umbilical vein as a rare cause of neonatal hemoperitoneum.
新生儿腹腔内出血并不常见，但对于出生后48小时内出现面色苍白、贫血、腹胀和休克的婴儿，必须考虑到这种情况。受损的肝脏是最常见的出血来源，脾脏和肾脏较少受累。在本病例中，腹腔内出血的特征很明显。剖腹探查发现腹腔内出血源于脐静脉及其包绕的镰状韧带破裂。没有其他腹腔内出血部位，脐带和胎盘也没有内在异常。腹腔内脐静脉破裂是该患者腹腔内出血的唯一来源。报道该病例是为了记录腹腔内脐静脉破裂作为新生儿血腹症的罕见原因。
