Infant Journal
for neonatal and paediatric healthcare professionals

Neonatal Research Priority Setting Partnership: help wanted

Katie Evans
Neonatal Research Priority Setting Partnership Project Co-ordinator and Clinical Research Fellow in Neonatal Medicine at Chelsea and Westminster Hospital

Chris Gale
Academic Neonatologist and Neonatal Society Meeting Secretary

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abdominal injury; subcapsular haematoma of the liver; refractory hypotension; abdominal ultrasound
Key points
  1. Even without evidence of birth trauma, intra-abdominal bleeding must be suspected in a newborn infant with refractory hypotension.
  2. Early identification of the source of bleeding may improve the outcome.
  3. Ultrasonography is the best modality to diagnose intra-abdominal birth injuries and can be performed at the bedside.

Also published in Infant:

A preterm infant with progressive abdominal distension
This report describes the case of a preterm infant with progressive liver enlargement causing abdominal distension at a few weeks of age. The liver biochemistry was normal with Doppler ultrasonographic evidence of increased vascularity within the liver parenchyma. The diagnosis was infantile multifocal hepatic haemangiomas. The clinical management required input from a multidisciplinary team. The spectrum of clinical presentation, diagnostic pathway and management options is reviewed.