Splenic rupture presenting with marked scrotal ecchymosis in a 2-day-old newborn

TUNÇ G., GÜNEY C., Aygunes U.

PAEDIATRICS AND INTERNATIONAL CHILD HEALTH, cilt.42, sa.1, ss.45-47, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 42 Sayı: 1
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1080/20469047.2021.1971923
  • Dergi Adı: PAEDIATRICS AND INTERNATIONAL CHILD HEALTH
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, PASCAL, BIOSIS, CAB Abstracts, EMBASE, MEDLINE, Veterinary Science Database
  • Sayfa Sayıları: ss.45-47
  • Anahtar Kelimeler: Scrotal ecchymosis, splenic rupture, neonatal, INJURY, HEMORRHAGE
  • Sivas Cumhuriyet Üniversitesi Adresli: Evet

Özet

Splenic rupture is a rare and severe condition in neonates. The signs and symptoms are vague and non-specific and are often not recognised before the onset of hypovolaemic shock or death. A 2-day-old infant presented with scrotal ecchymosis, and ultrasonography detected haemorrhage in the scrotal, right inguinal and adrenal regions. Computed tomography demonstrated a peri-splenic haematoma. Haemoglobin (Hb) was 2.79 g/dL and, despite repeated transfusions, the Hb level could not be sustained. Exploratory laparotomy detected a large haematoma in the splenic region, and, because of the uncontrolled haemorrhage, splenectomy was required.