Splenic rupture in a premature neonate.
Splenic injuries are very rare in neonates. We report a case of splenic injury in a premature neonate, highlighting the importance of a high-index suspicion in early recognition of this rare but potentially fatal intra-abdominal injury. We also review the literature on possible aetiologies and mechanism of splenic injury, as well as its management. This is the first reported case of a very low-birth-weight neonate with splenic rupture who survived with intact neurology.
Department of Paediatrics and Adolescent Medicine, University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong. tingyj@hkucc.hku.hk
J Y
JY
Ting
B C C
BC
Lam
C S W
CS
Ngai
W C
WC
Leung
K L
KL
Chan
D002585:Cesarean Section; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000175:diagnosis* / Q000628:therapy; D019102:Infant, Very Low Birth Weight; D022125:Lacerations / Q000150:complications / Q000628:therapy; D008297:Male; D013154:Spleen / Q000293:injuries; D013161:Splenic Rupture / Q000175:diagnosis* / Q000628:therapy; D013927:Thrombosis / Q000175:diagnosis / Q000628:therapy