Splenic rupture presenting with marked scrotal ecchymosis in a 2-day-old newborn

Paediatr Int Child Health. 2021 Sep 13:1-3. doi: 10.1080/20469047.2021.1971923. Online ahead of print.ABSTRACTSplenic rupture is a rare and severe condition in neonates. The signs and symptoms are vague and non-specific and are often not recognised before the onset of hypovolaemic shock or death. A 2-day-old infant presented with scrotal ecchymosis, and ultrasonography detected haemorrhage in the scrotal, right inguinal and adrenal regions. Computed tomography demonstrated a peri-splenic haematoma. Haemoglobin (Hb) was 2.79 g/dL and, despite repeated transfusions, the Hb level could not be sustained. Exploratory laparotomy detected a large haematoma in the splenic region, and, because of the uncontrolled haemorrhage, splenectomy was required.PMID:34511053 | DOI:10.1080/20469047.2021.1971923

Source: Paediatrics and international child health - September 13, 2021 Category: Pediatrics Authors: Gaffari Tunc Cengiz G üney Utku Ayg üneş Source Type: research