Large and acute symptomatic abdominal tumor in newborns: pitfalls,
difficulties in management and surgical decision making.
AbstractLarge and rapidly growing abdominal tumors endanger vital prognosis in
neonates. Sometimes, quickly worsening patients' clinical conditions
demand surgical decision-making that cannot wait for precise
histological diagnosis. There is neither consensus nor rules to manage
these situations. We presented our experience with five patients and we
looked in the literature for the best possible management of such rare
disease. Laparostomy should be considered only as a safe-life procedure
and if the liver is affected by the tumor and a coagulopathy is present,
the prognosis is often compromised.