scholarly journals Severe Consumptive Coagulopathy in an Extremely-Low-Birth-Weight Infant with Intra-Abdominal Umbilical Vein Varix: A Case Report

2021 ◽  
Vol 11 (02) ◽  
pp. e76-e79
Author(s):  
Mitsuhiro Haga ◽  
Kanako Itoh ◽  
Tsuguhiro Horikoshi ◽  
Fumihiko Namba ◽  
Kazuhiko Kabe
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Umbilical Vein ◽  
Brain Magnetic Resonance Imaging ◽  
Extremely Low Birth Weight ◽  
Preterm Neonates ◽  
Low Birth Weight Infant ◽  
Equivalent Age ◽  
Consumptive Coagulopathy ◽  
Life Threatening

AbstractRecent studies have shown favorable outcomes for intra-abdominal umbilical vein varices (IUVVs) in term neonates who have no other complications. Little is known, however, about the prognosis of IUVVs in preterm neonates. We encountered a case of IUVV in an extremely low-birth-weight infant who developed severe consumptive coagulopathy after birth. The patient's coagulation test normalized as the varix spontaneously obstructed. Although life-threatening hemorrhagic complications were avoided, a cerebellum hemorrhage was found in the brain magnetic resonance imaging at the term-equivalent age. In a literature survey, coagulopathy was reported in 4 out of 15 infants with IUVVs born before 34 weeks of gestation, including our present case. Preterm infants with IUVVs may develop coagulopathy because of the prematurity of their coagulation–fibrinolysis systems. Attention should be given to the coagulation status of preterm neonates with IUVVs.

scholarly journals Continuous renal replacement therapy rescued life-threatening capillary leak syndrome in an extremely-low-birth-weight premature: a case report

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Li-Fen Yang ◽  
Jia-Chang Ding ◽  
Ling-Ping Zhu ◽  
Li-Xia Li ◽  
Meng-Qi Duan ◽  
...  
Keyword(s):  
Birth Weight ◽  
Renal Replacement Therapy ◽  
Low Birth Weight ◽  
Continuous Renal Replacement Therapy ◽  
Replacement Therapy ◽  
Therapeutic Option ◽  
Capillary Leak Syndrome ◽  
Extremely Low Birth Weight ◽  
Capillary Leak ◽  
Life Threatening

Abstract Background Capillary leak syndrome (CLS) is a rare disease characterized by profound vascular leakage and presents as a classic triad of hypotension, hypoalbuminemia and hemoconcentration. Severe CLS is mostly induced by sepsis and generally life-threatening in newborns, especially in premature infants. Continuous renal replacement therapy (CRRT) plays an important role of supportive treatment for severe CLS. Unfortunately, CRRT in preterm infants has rarely been well defined. Case presentation We report the case of a 11-day-old girl with CLS caused by sepsis, who was delivered by spontaneous vaginal delivery (SVD) at gestational age of 25 weeks and 4 days, and a birth weight of 0.89 Kilograms(kg). The infant received powerful management consisting of united antibiotics, mechanical ventilation, intravenous albumin and hydroxyethyl starch infusion, vasoactive agents, small doses of glucocorticoids and other supportive treatments. However, the condition rapidly worsened with systemic edema, hypotension, pulmonary exudation, hypoxemia and anuria in about 40 h. Finally, we made great efforts to perform CRRT for her. Fortunately, the condition improved after 82 h’ CRRT, and the newborn was rescued and gradually recovered. Conclusion CRRT is an effective rescue therapeutic option for severe CLS and can be successfully applied even in extremely-low-birth-weight premature.

scholarly journals Repair of a bilateral Morgagni hernia in a premature, extremely low birth weight infant

2014 ◽  
Vol 2 (3) ◽  
pp. 145-149 ◽  
Author(s):  
Jamie Golden ◽  
Meade Barlow ◽  
Ian Mitchell ◽  
Aaron Lipskar ◽  
Jose M. Prince
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Extremely Low Birth Weight ◽  
Morgagni Hernia ◽  
Low Birth Weight Infant

Miller-Dieker Syndrome in an Extremely Low Birth Weight Infant

Perinatology ◽  
2017 ◽  
Vol 28 (4) ◽  
pp. 162
Author(s):  
Su Jeong Park ◽  
Na Rae Lee ◽  
Mi Hye Bae ◽  
Young Mi Han ◽  
Shin-Yun Byun ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Extremely Low Birth Weight ◽  
Low Birth Weight Infant
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