SUMMARYSubcapsular haematoma of the liver rarely occurs in neonates and the diagnosis is often missed or delayed. It is a catastrophic condition that can be caused by maternal, placentar or fetal factors. A high index of suspicion is essential for early identification and stabilisation of babies with such a pathology. In a newborn with hypovolemic shock and abdominal distension, haemoperitoneum should be suspected and, along with exclusion of other aetiologies, supportive therapy should be instituted. The hepatic subcapsular haematoma has a non-specific presentation, and should be considered in very low birth weight infants with hypovolemic shock. Abdominal ultrasonography is the investigation of choice. It can delineate the lesion well, differentiate it from neoplasms, rule out rupture and aid in serial follow-up. We report a premature newborn who had this uncommon condition in the early neonatal period and survived without sequelae.
BACKGROUND
Obesidade Infantil é a forma mais comum de patologia da nutrição nos países desenvolvidos. 1 A sua prevalência tem aumentado nas últimas décadas, justificando a denominação da Organização Mundial de Saúde (OMS) como epidemia de saúde pública, pela vasta dimensão que assume e pela velocidade com que se propaga. 2 Em Portugal, a prevalência de sobrepeso/obesidade infantil é de cerca de 31,5%, apresentando as raparigas uma percentagem mais elevada, excepto na faixa dos 7,5 e dos 9 anos, respectivamente. 3 Estes resultados reflectem a
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.