The authors report the case of a 29-year old primipara woman at her 39th week of gestation who gave birth through vaginal delivery to a newborn weighting 3410 grams with a cephaloematoma on the right parieto-occipital side and dolicocephalia due to long permanence in the birth canal. The birth was long and difficult and two Kristeller manouvres were necessary. After nearly nine hours of apparent well-being, the newborn’s health conditions declined with the onset of ipothermia, pallor, hypotonia, tachycardia, acidosis and anemia. Despite immediate medical intervention to balance acidosis the newborn quickly developed hypovolemic shock which required immediate resuscitation manouvres and immediate transportation to another hospital with a pediatric resuscitation unit. However the child died just after the arrival to the intensive care unit, despite all necessary resuscitation manouvres. The autopsy revealed that death was caused by acute emorragic shock which was due to liver rupture with an extenisive hematoma under the fibrous capsule of Glisson. The most probable cause of this hematoma was trauma which was due to the obstetricl manouvres during the final stages of labor. The necroscopic and histopathologic study was coherent with the hypothesis of a trauma occurring during a difficult and prolongued birth with transitory hypoxemia which was resolved by two Kristeller manouvres.

MORTE NEONATALE CONSEGUENTE A LESIONE EPATICA DA MANOVRE CONNESSE AL PARTO

VENTURA, FRANCESCO;FULCHERI, EZIO
2010-01-01

Abstract

The authors report the case of a 29-year old primipara woman at her 39th week of gestation who gave birth through vaginal delivery to a newborn weighting 3410 grams with a cephaloematoma on the right parieto-occipital side and dolicocephalia due to long permanence in the birth canal. The birth was long and difficult and two Kristeller manouvres were necessary. After nearly nine hours of apparent well-being, the newborn’s health conditions declined with the onset of ipothermia, pallor, hypotonia, tachycardia, acidosis and anemia. Despite immediate medical intervention to balance acidosis the newborn quickly developed hypovolemic shock which required immediate resuscitation manouvres and immediate transportation to another hospital with a pediatric resuscitation unit. However the child died just after the arrival to the intensive care unit, despite all necessary resuscitation manouvres. The autopsy revealed that death was caused by acute emorragic shock which was due to liver rupture with an extenisive hematoma under the fibrous capsule of Glisson. The most probable cause of this hematoma was trauma which was due to the obstetricl manouvres during the final stages of labor. The necroscopic and histopathologic study was coherent with the hypothesis of a trauma occurring during a difficult and prolongued birth with transitory hypoxemia which was resolved by two Kristeller manouvres.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11567/392896
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