Neonatal Hemoperitoneum Secondary to Hemorrhage from Omental Venous Malformation.

Abstract

Hemoperitoneum in the neonate is uncommon. We report our experience with a neonate who suddenly developed hemoperitoneum in late gestation. Ascites with right pleural effusion initially suggested fetal hydrops. However, a decrease in hemoglobin with bloody ascites from the paracentesis gave the impression of hemoperitoneum. Ultrasonography and computed tomography showed no abnormality in the solid organs. Using 3-mm laparoscopic exploration, we found the omental mass and excised it. It was histologically confirmed as a venous malformation. Venous malformation of the omentum with significant bleeding requiring exploration is a very rare condition in the neonate, but it should be considered as a cause of neonatal hemoperitoneum.

• Authors: So-Hyun Nam, Soo Hyun Koo, Mi Lim Chung, Yu Jin Jung, Hyun Jin Cho, Ji Yeon Kim
• Journal: Pediatrics and neonatology (Pediatr Neonatol) Vol. 56 Issue 6 Pg. 422-4 (Dec 2015) ISSN: 2212-1692 [Electronic] Singapore
• PMID: 23886611 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2013. Published by Elsevier B.V.

Topics

• Female
• Hemoperitoneum (etiology)
• Humans
• Infant, Newborn
• Omentum (blood supply)
• Vascular Malformations (complications, diagnosis)