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Journal of Clinical Pathology 2001;54:796-797
Copyright © 2001 by the BMJ Publishing Group Ltd & Association of Clinical Pathologists.
J Clin Pathol 2001; 54:796-797
© 2001 Journal of Clinical Pathology

Short report

Massive acute thymic haemorrhage and cerebral haemorrhage in an intrauterine fetal death

V Saksenberg, B Bauch, S Reznik

Department of Pathology, Albert Einstein College of Medicine, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Forchheimer, Second Floor, Bronx, NY 10461–2373, USA

Correspondence to:
Dr Reznik sreznik{at}aecom.yu.edu

Massive acute thymic haemorrhage in the neonate occurs extremely rarely and is associated with haemorrhagic disease of the newborn. A 30 year old woman with an unremarkable previous obstetric history presenting at 37 weeks and 4 days gestation with the complaint of loss of fetal movement was found to have a male fetus with findings at necropsy of massive acute thymic haemorrhage, acute intracranial haemorrhage, and hydrops fetalis. This is the first report of massive acute thymic haemorrhage in utero. Massive thymic haemorrhage should be added to the reported causes of lethal non-immunological hydrops.

Key Words: fetal thymic haemorrhage • fetal cerebral haemorrhage • hydrops fetalis


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