{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T20:10:03Z","timestamp":1791576603843,"version":"4.3.4"},"reference-count":11,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,8,19]]},"abstract":"<jats:p>We describe an unusual case of an intra-abdominal teratoma with massive bleeding presenting as sudden cardiovascular collapse immediately after birth. The infant required massive volume and blood product transfusion, alongside emergent tumour resection, in order to obtain haemostasis and haemodynamic stabilisation. Haemorrhage of a sacrococcygeal teratoma is a known entity, but we are not aware of a previous report of massive intra-abdominal haemorrhage due to a teratoma, immediately after birth. This case emphasises the need to consider intra-abdominal pathology, including a teratoma, in the differential diagnosis of any newborn with early hypovolaemic shock and abdominal distention.<\/jats:p>","DOI":"10.1136\/bcr-2015-211279","type":"journal-article","created":{"date-parts":[[2015,9,2]],"date-time":"2015-09-02T08:26:29Z","timestamp":1441182389000},"page":"bcr2015211279","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["A newborn with massive intra-abdominal haemorrhage"],"prefix":"10.1136","volume":"2015","author":[{"given":"Venkata Sasidhar","family":"Majjiga","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nidhi","family":"Bhatt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Kavianian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beau","family":"Batton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,9,2]]},"reference":[{"key":"2025042707033192000_2015.sep02_1.bcr2015211279.1","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1515\/jpm.2011.018","article-title":"Intrahepatic and adrenal hemorrhage as a rare cause of neonatal anemia","volume":"39","author":"Akin","year":"2011","journal-title":"J Perinat Med"},{"key":"2025042707033192000_2015.sep02_1.bcr2015211279.2","doi-asserted-by":"publisher","DOI":"10.1177\/000992288702600611"},{"key":"2025042707033192000_2015.sep02_1.bcr2015211279.3","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1542\/peds.24.1.97","article-title":"Posthemorrhagic anemia and shock in the newborn; a review","volume":"24","author":"Kirkman","year":"1959","journal-title":"Pediatrics"},{"key":"2025042707033192000_2015.sep02_1.bcr2015211279.4","first-page":"68","article-title":"Splenic rupture in a premature neonate","volume":"12","author":"Ting","year":"2006","journal-title":"Hong Kong Med J"},{"key":"2025042707033192000_2015.sep02_1.bcr2015211279.5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/j.1651-2227.1964.tb07200.x","article-title":"Hemodynamic studies of induced acute hypo-and hypervolemia in the newborn infant","volume":"53","author":"Wallgren","year":"1964","journal-title":"Acta Paediatr"},{"key":"2025042707033192000_2015.sep02_1.bcr2015211279.6","doi-asserted-by":"publisher","DOI":"10.1097\/01.paf.0000257373.91126.0d"},{"key":"2025042707033192000_2015.sep02_1.bcr2015211279.7","first-page":"56","article-title":"Rare extragonadal teratomas in children: complete tumor excision as a reliable and essential procedure for significant survival clinical experience and review of the literature","volume":"85","author":"Paradies","year":"2014","journal-title":"Ann Ital Chir"},{"key":"2025042707033192000_2015.sep02_1.bcr2015211279.8","doi-asserted-by":"crossref","first-page":"E21","DOI":"10.1016\/j.jpedsurg.2007.07.053","article-title":"Retroperitoneal teratoma presenting as an abscess in childhood","volume":"42","author":"Nguyen","year":"2007","journal-title":"J Pediatr Surg"},{"key":"2025042707033192000_2015.sep02_1.bcr2015211279.9","first-page":"2","article-title":"Peritonitis caused by rupture of infected retroperitoneal teratoma","volume":"3","author":"Sarin","year":"2012","journal-title":"APSP J Case Rep"},{"key":"2025042707033192000_2015.sep02_1.bcr2015211279.10","doi-asserted-by":"publisher","DOI":"10.1159\/000201944"},{"key":"2025042707033192000_2015.sep02_1.bcr2015211279.11","doi-asserted-by":"publisher","DOI":"10.1159\/000255169"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-211279","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T14:03:38Z","timestamp":1745762618000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-211279"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,9,2]]},"references-count":11,"alternative-id":["10.1136\/bcr-2015-211279"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-211279","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,9,2]]}}}