Ruptured splenic cavernous hemangioma in a neonate.
We present a case of a term neonate with hypovolemic shock after spontaneous vaginal delivery. Hemodynamic instability persisted despite resuscitation with packed red cells, fresh frozen plasma, and platelets. An ultrasound scan at 48 hours after birth followed by a computed tomographic scan demonstrated a splenic lesion and hemoperitoneum. She underwent an emergency laparotomy and splenectomy for splenic rupture. Histologic findings demonstrated a ruptured cavernous hemangioma of the spleen. Exsanguinating intraabdominal hemorrhage in the newborn infant is rare. The diagnosis and management, with particular reference to splenic cavernous hemangioma and splenic rupture, is discussed.
Pachl
Max
M
Pediatric Surgical Unit, Sheffield Children's Hospital, Sheffield, UK. pachl@doctors.org.uk
Elmalik
Khalid
K
Cohen
Martha
M
Kamupira
Susan
S
Walker
Jenny
J
Murthi
Govind
G
D005260:Female; D005500:Follow-Up Studies; D006392:Hemangioma, Cavernous / Q000151:congenital / Q000473:pathology / Q000601:surgery*; D006465:Hemoperitoneum / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007150:Immunohistochemistry; D007231:Infant, Newborn; D007813:Laparotomy; D018570:Risk Assessment; D012769:Shock / Q000175:diagnosis / Q000209:etiology; D013156:Splenectomy / Q000379:methods; D013160:Splenic Neoplasms / Q000151:congenital / Q000473:pathology / Q000601:surgery*; D013161:Splenic Rupture / Q000000981:diagnostic imaging / Q000601:surgery*; D047929:Term Birth; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome