Splenic haemorrhage in a newborn as the first manifestation of wandering spleen syndrome

Wandering spleen is an unusual condition in children and is even more rarely diagnosed in the neonatal period. A case of splenic haemorrhage after dystocic birth in a newborn is reported. Before surgery, results of imaging studies were suggestive of a ruptured spleen. On laparotomy, a big haematoma...

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Bibliographic Details
Published in:Journal of pediatric surgery 2004-02, Vol.39 (2), p.240-242
Main Authors: Balliu, Pere-Ramon, Bregante, Juan, Pérez-Velasco, Maria-Carmen, Fiol, Miguel, Galiana, Consuelo, Herrera, Manuel, Mulet, Jaime
Format: Article
Language:English
Subjects:
Abdomen
Adult
Biological and medical sciences
Chromosome aberrations
Diagnosis, Differential
Diseases in Twins
Dystocia - complications
Female
Gastroenterology. Liver. Pancreas. Abdomen
General aspects
Hemoperitoneum - diagnosis
Hemorrhage - etiology
Hemostasis, Surgical
Humans
infant
Infant, Newborn
Ligaments - abnormalities
Male
Medical genetics
Medical sciences
newborn
Obstetrical Forceps
Other diseases. Semiology
Pregnancy
Spleen - abnormalities
Spleen - surgery
Splenic Artery - abnormalities
Splenic Diseases - diagnosis
Splenic Diseases - etiology
Splenic Rupture - diagnosis
splenopexy
Surgical Flaps
Wandering spleen
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Description
Summary:Wandering spleen is an unusual condition in children and is even more rarely diagnosed in the neonatal period. A case of splenic haemorrhage after dystocic birth in a newborn is reported. Before surgery, results of imaging studies were suggestive of a ruptured spleen. On laparotomy, a big haematoma surrounding a wandering spleen was found. Haemorrhage aroused from short splenic arteria. Haemostasia and splenopexy were performed. The spleen proved later to be viable. The authors speculate that the haemorrhage was the first manifestation of the wandering spleen.
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2003.10.025