Severe Consumptive Coagulopathy in an Extremely-Low-Birth-Weight Infant with Intra-Abdominal Umbilical Vein Varix: A Case Report.
consumptive coagulopathy
extremely-low-birth-weight infants
intra-abdominal umbilical vein varix
intracranial hemorrhages
Journal
AJP reports
ISSN: 2157-6998
Titre abrégé: AJP Rep
Pays: United States
ID NLM: 101569862
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
received:
13
01
2021
accepted:
15
02
2021
entrez:
31
5
2021
pubmed:
1
6
2021
medline:
1
6
2021
Statut:
ppublish
Résumé
Recent studies have shown favorable outcomes for intra-abdominal umbilical vein varices (IUVVs) in term neonates who have no other complications. Little is known, however, about the prognosis of IUVVs in preterm neonates. We encountered a case of IUVV in an extremely low-birth-weight infant who developed severe consumptive coagulopathy after birth. The patient's coagulation test normalized as the varix spontaneously obstructed. Although life-threatening hemorrhagic complications were avoided, a cerebellum hemorrhage was found in the brain magnetic resonance imaging at the term-equivalent age. In a literature survey, coagulopathy was reported in 4 out of 15 infants with IUVVs born before 34 weeks of gestation, including our present case. Preterm infants with IUVVs may develop coagulopathy because of the prematurity of their coagulation-fibrinolysis systems. Attention should be given to the coagulation status of preterm neonates with IUVVs.
Identifiants
pubmed: 34055464
doi: 10.1055/s-0041-1727288
pii: 210001
pmc: PMC8159582
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e76-e79Informations de copyright
The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).
Déclaration de conflit d'intérêts
Conflict of Interest None declared.
Références
J Obstet Gynaecol. 2017 Nov;37(8):1093-1095
pubmed: 28657401
Fetal Diagn Ther. 2009;25(4):404-6
pubmed: 19786788
J Obstet Gynaecol. 2010 Apr;30(3):315
pubmed: 20373943
Fetal Diagn Ther. 2004 Sep-Oct;19(5):440-7
pubmed: 15305101
J Med Ultrason (2001). 2011 Oct;38(4):243
pubmed: 27278592
Fetal Diagn Ther. 2013;34(1):59-62
pubmed: 23548473
Malays J Med Sci. 2012 Jul;19(3):69-73
pubmed: 23785250
Ultrasound Obstet Gynecol. 2005 Feb;25(2):149-54
pubmed: 15685644
J Pediatr Hematol Oncol. 2000 May-Jun;22(3):259-61
pubmed: 10864059
J Ultrasound Med. 1998 Mar;17(3):171-5
pubmed: 9514169
Ultraschall Med. 2010 Feb;31(1):1-3
pubmed: 20157866
J Ultrasound Med. 1992 Feb;11(2):73-6
pubmed: 1560496
J Ultrasound Med. 2001 Feb;20(2):135-9
pubmed: 11211133