Splenic haemorrhage in a newborn as the first manifestation of wandering spleen syndrome

J Pediatr Surg. 2004 Feb;39(2):240-2. doi: 10.1016/j.jpedsurg.2003.10.025.

Abstract

Wandering spleen is an unusual condition in children and is even more rarely diagnosed in the neonatal period. A case of splenic haemorrhage after dystocic birth in a newborn is reported. Before surgery, results of imaging studies were suggestive of a ruptured spleen. On laparotomy, a big haematoma surrounding a wandering spleen was found. Haemorrhage aroused from short splenic arteria. Haemostasia and splenopexy were performed. The spleen proved later to be viable. The authors speculate that the haemorrhage was the first manifestation of the wandering spleen.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Diagnosis, Differential
  • Diseases in Twins*
  • Dystocia / complications
  • Female
  • Hemoperitoneum / diagnosis
  • Hemorrhage / etiology*
  • Hemostasis, Surgical
  • Humans
  • Infant, Newborn
  • Ligaments / abnormalities
  • Male
  • Obstetrical Forceps
  • Pregnancy
  • Spleen / abnormalities*
  • Spleen / surgery
  • Splenic Artery / abnormalities
  • Splenic Diseases / diagnosis
  • Splenic Diseases / etiology*
  • Splenic Rupture / diagnosis
  • Surgical Flaps