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Journal of Pediatric Neurology 2012; 10(02): 125-127
DOI: 10.3233/JPN-2012-0547
Georg Thieme Verlag KG Stuttgart – New York

Placental abruption leading to disseminated intravascular coagulation and massive subgaleal hematoma in the newborn

Sriparna Basu
a   Department of Pediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
,
Nishant Verma
a   Department of Pediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
,
Ashok Kumar
a   Department of Pediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
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Publication History

06 December 2010

27 April 2011

Publication Date:
30 July 2015 (online)

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Abstract

Neonatal subgaleal hematomas, rare but potentially fatal accumulations of blood beneath the galea aponeurotica of the scalp, are often associated with instrumental deliveries. We report an unusual case of disseminated intravascular coagulation and massive subgaleal hematoma in a neonate secondary, to placental abruption and disseminated intravascular coagulation in the mother. The neonate presented with subgaleal and subarachnoid hemorrhage and hypovolemic shock soon after birth and developed severe hyperbilirubinemia later on requiring multiple exchange transfusions and aspiration of the hematoma.

Keywords

Disseminated intravascular coagulation - neonate - placental abruption - subgaleal hematoma