Abstract
A 25-year-old Hispanic gravida 1 woman gives birth to a female neonate at 352/7 weeks’ gestation via spontaneous vaginal delivery. Maternal history is significant for maternal blood type O+ and herpes simplex virus with no lesions noted at the time of delivery. She has not received viral suppressive therapy. Maternal group B Streptococcus status is unknown. The remainder of the maternal laboratory test results are negative, including hepatitis B surface antigen, chlamydia, gonorrhea, syphilis, and human immunodeficiency virus. She is rubella immune. Rupture of membranes occurred approximately 13 hours before the uncomplicated delivery. Twenty minutes after delivery, the infant develops respiratory distress with a weak cry and nasal flaring. Further examination reveals an asymmetric abdomen with a large, solid, smooth, right-sided abdominal mass. The mass is palpable from the liver edge to pelvic rim on the right, and it nearly crosses the midline. She also has a 2/6 systolic murmur. Vital signs are appropriate with a temperature of 98.2°F (36.8°C), heart rate of 127 beats per minute, respiratory rate of 30 breaths per minute, blood pressure …
Published Version
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