Skip to main content
SpringerLink
Log in

Idiopathic intraparenchymal hematoma of the liver in a neonate

  • Case Report
  • Published:
Pediatric Radiology Aims and scope Submit manuscript

Abstract

Hepatic hematomas in newborn infants are not frequently detected clinically, but are often found at perinatal autopsies. These hematomas of the liver are usually subcapsular in location. A variety of etiologies for such hematomas has been implicated, such as trauma, sepsis, and coagulopathies. We present a neonate who presented with jaundice and abdominal distention. Initial imaging studies revealed a large intraparenchymal lesion of the liver, which was at first thought to be suspicious for neoplasm; however, MRI showed the lesion to be hemorrhagic and follow-up sonographic studies showed total resolution of this lesion, compatible with hematoma. The intraparenchymal location and the idiopathic nature of this lesion distinguish this case from others previously reported.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1a, b.
Fig. 2a, b.
Fig. 3a–d.
Fig. 4.
Fig. 5.

Similar content being viewed by others

References

  1. Singer D, Neave C, Oyer C, et al (1999) Hepatic subcapsular hematomas in fetuses and neonatal infants. Pediatr Dev Pathol 2:215–220

    Article  CAS  PubMed  Google Scholar 

  2. Maze A, Lieber M, Aballi A(1979) Neonatal subcapsular hematoma of the liver presenting as an abdominal mass. Clin Pediatr 18:307, 311–312

    CAS  Google Scholar 

  3. Hodge J (1870) Fatal hemorrhages from the liver in an infant. Am J Med Sci 59:416

    Google Scholar 

  4. Potter E (1940) Fetal and neonatal deaths—a statistical analysis of 2000 autopsies. JAMA 115:996–1001

    Google Scholar 

  5. Gruenwald P (1948) Rupture of the liver and spleen in the newborn infant. J Pediatr 33:195–201

    Google Scholar 

  6. Henderson JL (1941) Hepatic hemorrhages in stillborn and newborn infants. J Obstet Gynaecol Br Empire 48:337–388

    Google Scholar 

  7. Cywes S (1967) Hemoperitoneum in the newborn. S Afr Med J 41:1063–1073

    CAS  PubMed  Google Scholar 

  8. French CE, Waldstein G (1982) Subcapsular hemorrhage of the liver in the newborn. Pediatrics 69:204–208

    CAS  PubMed  Google Scholar 

  9. Mouratidis B, Antonio G (2000) Sonographic diagnosis of subcapsular liver hematoma mimicking tumor in a neonate. J Clin Ultrasound 28:53–57

    Article  CAS  PubMed  Google Scholar 

  10. Schlesinger A, Braverman R, DiPietro M (2003) Neonates and umbilical venous catheters: normal appearance, anomalous positions, complications, and potential aid to diagnosis. Am J Roentgenol AJR 180:1147–1153

    Google Scholar 

  11. Dachman A, Pakter R, Ros P, et al (1987) Hepatoblastoma: radiologic-pathologic correlation in 50 cases. Radiology 164:15–19

    CAS  PubMed  Google Scholar 

  12. CasillasV, Amendola M, Gascue A, et al (2000) Imaging of nontraumatic hemorrhagic hepatic lesions. Radiographics 20:367–378

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Pediatric Radiology, Department of Radiology, New York University Medical Center, 560 1st Avenue, New York, NY 10016, USA

    John Amodio, Nancy Fefferman, Rafael Rivera, Lynne Pinkney & Naomi Strubel

Authors
  1. John Amodio
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Nancy Fefferman
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Rafael Rivera
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Lynne Pinkney
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Naomi Strubel
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to John Amodio.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Amodio, J., Fefferman, N., Rivera, R. et al. Idiopathic intraparenchymal hematoma of the liver in a neonate. Pediatr Radiol 34, 358–361 (2004). https://doi.org/10.1007/s00247-003-1115-2

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00247-003-1115-2

Keywords

Search

Navigation