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Case Reports
. 2012 Apr;32(4):304-5.
doi: 10.1038/jp.2011.122.

Subgaleal hemorrhage in a neonate with factor X deficiency following a non-traumatic cesarean section

E A Wetzel  1 , P S Kingma
Affiliations
Case Reports

Subgaleal hemorrhage in a neonate with factor X deficiency following a non-traumatic cesarean section

E A Wetzel et al. J Perinatol. 2012 Apr.

Abstract

This case report describes a term infant born by a non-traumatic, non-instrumented cesarean section that presented with respiratory failure and severe metabolic acidosis secondary to subgaleal hemorrhage (SGH). Further evaluation revealed a functional factor X deficiency that was initially treated with fresh frozen plasma infusions. This report is significant for the occurrence of a SGH in a non-traumatic delivery and emphasizes the importance of obtaining a coagulopathy evaluation in patients with similar presentations. In addition, this case suggests that the mechanism of injury that causes SGH may occur more frequently than previously thought, but does not become clinically significant in patients without an underlying coagulopathy.

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Figures

Figure 1
Figure 1
The response in the international normalized ratio (INR) was followed serially during the first 11 days of life. Arrows indicate when fresh frozen plasma (FFP) was administered.
See this image and copyright information in PMC

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