Recurrent subdural hematoma as presentation of neonatal biliary atresia: A case report

Author:

Bharath Jayaram1,Nagarajan Krishnan1,Naseera Muneer2,Govindarajan Krishna Kumar2

Affiliation:

1. Department of Radio-Diagnosis, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India,

2. Department of Pediatric Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India,

Abstract

Biliary atresia is a congenital disorder of progressive and obliterative cholangiopathy, the most common cause of neonatal cholestasis, it can cause secondary vitamin-K deficiency bleeding due to the malabsorption of lipids and lipid-soluble vitamins due to cholestasis. We report a 46-day-old child presenting with cholestatic features complicated by subdural hematoma (SDH) and cerebral edema. On investigations, she was found to be having primary biliary atresia, for which she was operated but had a recurrence of the SDH on the opposite side.

Publisher

Scientific Scholar

Reference11 articles.

1. Intracranial hemorrhage due to Vitamin K deficiency associated with congenital biliary atresia: A case report;Sato;Neurosurg Emerg,2000

2. Bleeding disorder as the first symptom of biliary atresia;Okada;Eur J Pediatr Surg,2005

3. Image and diagnosis. Intracranial haemorrhage due to Vitamin K deficiency, as the first symptom of extrahepatic biliary atresia;Ertekin;West Indian Med J,2005

4. Intracranial hemorrhage and Vitamin K deficiency associated with biliary atresia: Summary of 15 cases and review of the literature;Akiyama;Pediatr Neurosurg,2006

5. Intracranial hemorrhage as initial presentation of biliary atresia: Two cases report;Mariani;Arch Argent Pediatr,2011

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