European J Pediatr Surg Rep. 2015; 03(02): 071-073
DOI: 10.1055/s-0035-1564610
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Spontaneous Splenic Hemorrhage in the Newborn

Sonia Tiboni
1  Department of Paediatric Surgery, Leicester Royal Infirmary, Leicester, United Kingdom
,
Umar Abdulmajid
1  Department of Paediatric Surgery, Leicester Royal Infirmary, Leicester, United Kingdom
,
Suneel Pooboni
2  Department of Paediatric Intensive Care, Leicester Royal Infirmary, Leicester, United Kingdom
,
Christopher Wighton
3  Department of Paediatrics, Leicester Royal Infirmary, Leicester, United Kingdom
,
Balgopal Eradi
1  Department of Paediatric Surgery, Leicester Royal Infirmary, Leicester, United Kingdom
,
Haitham Dagash
1  Department of Paediatric Surgery, Leicester Royal Infirmary, Leicester, United Kingdom
› Author Affiliations
Further Information

Publication History

11 May 2015

18 August 2015

Publication Date:
24 November 2015 (online)

Abstract

Spontaneous splenic hemorrhage in the newborn is a rare entity. The presentation is usually with a triad of bleeding, abdominal distension, and hemoperitoneum. Rapid diagnosis is essential as left untreated, death is inevitable. We present a case with an unusual initial presentation of a scrotal hematocele and ultrasonography suggesting an adrenal hemorrhage. At laparotomy, splenic preservation was unsuccessful, and therefore, splenectomy was performed. The child recovered well from the procedure.