PEDIATRICS Vol. 47 No. 1 January 1971, pp. 101-104
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NEONATAL RUPTURE OF THE SPLEEN

Report of a Case Successfully Treated After Spontaneous Cessation of Hemorrhage

Lucian L. Leape M.D.1 and Marvin D. Bordy M.D.1

1 Section of Pediatric Surgery, Department of Surgery, University of Kansas School of Medicine, and the Department of Pediatrics, Menorah Medical Center, Kansas City, Missouri

Few patients with neonatal rupture of the spleen survive. A patient is presented in whom splenectomy was carried out on the ninth day of age after bleeding had stopped. Diagnosis was suspected because of ecchymoses and a falling hemoglobin.

Palpation of a mass, which was found to be radiolucent on total body opacification studies, confirmed the diagnosis. Spontaneous cessation of bleeding is rare and should not be anticipated when ruptured spleen is suspected in a newborn infant. Prompt surgical intervention is usually required if the patient is to survive.

Submitted on January 5, 1970
Accepted on June 25, 1970




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L. A. Johnson-Robbins, J. C. Porter, and M. J. Horgan
Splenic Rupture in a Newborn with Hemophilia A: Case Report and Revew of the Literature
Clinical Pediatrics, March 1, 1999; 38(2): 117 - 119.
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