A case of subcapsular rupture of liver in a neonate associated with hemophilia A.
We describe an extremely rare case of subcapsular rupture of the liver associated with hemophilia A in a neonate. Although, the neonate was in good condition after birth, at 13 hours, he became pale and his abdomen distended. At 17 hours after birth, an emergency laparotomy was performed. The subcapsular rupture of the left side of the liver was found. The ruptured area was closed with a continuous suture, and additional mattress sutures with pledget provided satisfactory hemostasis. On the second day after the operation, relaparotomy was done because recurrent bleeding was suspected. There was no bleeding from the sutured liver. Oozing was found at the suture line on the abdominal wall. An additional postoperative observation was a decrease of factor VIII less than 1%, and hemophilia A was confirmed.
Oshio
Takehito
T
Department of Pediatric Surgery, National Kagawa Children's Hospital, 2603 Zentsuji-town, Zentsuji-city, Kagawa-ken 765-8501, Japan.
Hino
Masao
M
Nakamizo
Hirotaka
H
Yoshikawa
Kozo
K
Takano
Shuichi
S
D006467:Hemophilia A / Q000150:complications*; D006801:Humans; D007231:Infant, Newborn; D008107:Liver Diseases / Q000209:etiology* / Q000601:surgery*; D008297:Male; D012086:Reoperation; D012422:Rupture, Spontaneous