Affiliations: Department of Pediatrics, Institute of Medical
Sciences, Banaras Hindu University, Varanasi, India
Note: [] Correspondence: Dr. Sriparna Basu, Associate Professor in
Neonatology and Perinatology, Department of Pediatrics, Institute of Medical
Sciences, Banaras Hindu University, Varanasi, 221005, India. Tel.:
+919935340260; Fax: +9154322367568; E-mail: drsriparnabasu@rediffmail.com
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.
