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Ruptured splenic cavernous hemangioma in a neonate
Max Pachl1, Khalid Elmalik, Martha Cohen
1Pediatric Surgical Unit, Sheffield Children's Hospital, Sheffield, UK. pachl@doctors.org.uk
Journal of Pediatric Surgery
|February 19, 2008
Summary
A newborn experienced hypovolemic shock and hemodynamic instability after birth due to a ruptured splenic hemangioma. Emergency surgery was required to manage the life-threatening intraabdominal hemorrhage.
Area of Science:
- Pediatrics
- Neonatology
- Surgical Pathology
Background:
- Neonatal hypovolemic shock is a critical condition requiring prompt diagnosis and management.
- Spontaneous splenic rupture in neonates is exceedingly rare, posing significant diagnostic and therapeutic challenges.
Observation:
- A term neonate presented with persistent hemodynamic instability post-vaginal delivery, unresponsive to standard resuscitation.
- Imaging revealed a splenic lesion and hemoperitoneum, indicating significant intraabdominal bleeding.
Findings:
- The neonate underwent emergency laparotomy and splenectomy for splenic rupture.
- Histopathological examination confirmed a ruptured cavernous hemangioma of the spleen as the cause of hemorrhage.
Implications:
- This case highlights the importance of considering rare causes of neonatal hemorrhage, such as splenic hemangioma.
- Effective management involves prompt diagnosis via imaging and surgical intervention, including splenectomy when necessary.
- Understanding splenic vascular malformations is crucial for managing exsanguinating intraabdominal hemorrhage in newborns.
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