title: [Neonatal splenic injury: a difficult diagnosis].
abstract: Neonatal splenic injury is a rare but serious condition, due to the risk of haemorrhagic shock. We report on the case of a newborn infant with a neonatal respiratory distress that first evoked materno-fetal infection. Clinical deterioration, with anemia and abdominal distension, led then to the proper diagnosis. Dystocia seems to be the most likely cause of the splenic rupture in this report. Medical treatment is advocated as first line, while surgical treatment may be necessary in some cases. In the case surgery is inevitable, a conservative approach is preferable.
authors.affiliation: Service de médecine néonatale, CHU de Grenoble, 38093 Grenoble cedex 09, France. IGrandvuillemin@chu-grenoble.fr
authors.forename: I
authors.initials: I
authors.lastname: Grandvuillemin
authors.forename: G
authors.initials: G
authors.lastname: Emeriaud
authors.forename: C
authors.initials: C
authors.lastname: Jacquier
authors.forename: C
authors.initials: C
authors.lastname: Piolat
authors.forename: C
authors.initials: C
authors.lastname: Durand
authors.forename: D
authors.initials: D
authors.lastname: Pasquier
authors.forename: I
authors.initials: I
authors.lastname: Wroblewski
authors.forename: T
authors.initials: T
authors.lastname: Debillon
mesh_terms: D004420:Dystocia; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D013154:Spleen / Q000293:injuries*; D014947:Wounds and Injuries / Q000175:diagnosis / Q000209:etiology