Neonatal splenic necrosis not related to wandering spleen.
Splenic necrosis is extremely rare in neonates, the cases recorded so far being secondary to torsion of wandering organs. A newborn with an abdominal mass who underwent exchange transfusions through an umbilical catheter is presented here. Comprehensive investigation led to the suspicion of enteric duplication, but a splenic necrosis with no features of wandering spleen was found at laparotomy. The pathogenesis and preoperative diagnostic work-up of splenic necrosis are emphasised.
Estevão-Costa
J
J
Division of Paediatric Surgery, Faculty of Medicine, S. João Hospital, Porto, Portugal. estevao.costa@hsjoao.min-saude.pt
Correia-Pinto
J
J
Fragoso
A
A
Soares-Oliveira
M
M
Carvalho
J Luis
JL
D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009336:Necrosis; D013154:Spleen / Q000473:pathology*; D013158:Splenic Diseases / Q000473:pathology*; D014102:Torsion Abnormality