Neonatal haemorrhagic shock due to Benckiser's haemorrhage with intact membranes

Article Article scientifique Rapport de cas Neonatal haemorrhagic shock due to Benckiser's haemorrhage with intact membranes - a case report eng 2025-06-24 2025-12 author Papasavva Dimitra Neonatal and Intensive care Unit, Woman-Child-adolescent Department, Geneva University hospitals and University of Geneva, Geneva, Switzerland. author Felice-Civitillo Cristina 0009-0003-7234-8452 Neonatal and Intensive care Unit, Woman-Child-adolescent Department, Geneva University hospitals and University of Geneva, Geneva, Switzerland. 871645 Cristina Felice Civitillo author Le Mercier Delphine Obstetrical and Gynaecological Unit, Woman-Child-adolescent Department, Geneva University hospitals, Geneva, Switzerland. 410534 author Rougemont-Pidoux Anne-Laure Paediatric and Fetoplacental Pathology Unit, Division of Clinical Pathology, Diagnostic Department, Geneva University Hospitals, Geneva, Switzerland. 29140 Département de pathologie et immunologie (PATIM) author Rebollo-Polo Monica Department of Radiology, Sant Joan de Deu University Hospital, Barcelona, Spain. author Leyder Hélène Neonatal and Intensive care Unit, Woman-Child-adolescent Department, Geneva University hospitals and University of Geneva, Geneva, Switzerland. 402412 author Barcos Munoz Francisca Mariana 0000-0001-7143-6117 Neonatal and Intensive care Unit, Woman-Child-adolescent Department, Geneva University hospitals and University of Geneva, Geneva, Switzerland. 871644 Francisca Barcos Munoz 2524093 10.1080/14767058.2025.2524093 40555548 1476-4954 https://www.tandfonline.com/doi/10.1080/14767058.2025.2524093 Introduction: Benckiser's haemorrhage is a severe obstetric complication caused by the rupture of umbilical vessels from velamentous cord insertion. Although it is rare, this complication can be life-threatening for newborns, with a mortality rate ranging from 75% to 100%. Case report: We report a case of a late preterm newborn who developed hypovolemic shock and hypoxic ischemic encephalopathy requiring urgent and intensive resuscitation, including blood transfusion and therapeutic hypothermia. Postoperatively, a rupture of the umbilical cord vessels was confirmed although there were no signs of membrane rupture. However, he died at four days of age because of multi-organ failure and severe hypoxic-ischemic encephalopathy. Conclusion: This case highlights the possibility of umbilical vessels rupture with intact membranes and emphasizes the importance of early recognition of the rupture to perform an urgent cesarean delivery and provide a prompt neonatal resuscitation, which may improve the neonatal outcome. Benckiser’s haemorrhage Encephalopathy Shock Umbilical vessel rupture Velamentous cord insertion Female Humans Infant, Newborn Male Pregnancy Fatal Outcome Hypoxia-Ischemia, Brain / diagnosis Hypoxia-Ischemia, Brain / etiology Hypoxia-Ischemia, Brain / therapy Shock, Hemorrhagic / diagnosis Shock, Hemorrhagic / etiology Shock, Hemorrhagic / therapy Umbilical Cord Infant, Premature Dewey 616.07 Dewey 618 137 Département de pathologie et immunologie 21F 58 Département de pédiatrie, gynécologie et obstétrique 223 false Journal of maternal-fetal & neonatal medicine 38 1 c1f42b63-726b-4ee5-9486-b4d0a75f4cdc Article (Published version) Public Neonatal_haemorrhagic_shock_due_to_1.pdf 2850700 application/pdf CC BY-4.0 f9c8db0e48a73d684ae8ff20c73032bfde247995be2372eca2ce2b1ce6a5c631 openAccess Faculté de médecine / Section de médecine fondamentale / Département de pathologie et immunologie Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique

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Neonatal haemorrhagic shock due to Benckiser's haemorrhage with intact membranes - a case report	Journal of maternal-fetal & neonatal medicine			2025	29	76

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Leyder, Hélène