PEDIATRICS Vol. 79 No. 6 June 1987, pp. 960-966
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Splenic Hemangioma With Thrombocytopenia in a Newborn

Susan Sencer MD1, Alison Coulter-Knoff MD1, Deborah Day MD1, John Foker MD1, Theodore Thompson MD1, and Barbara Burke MD1

1 From the University of Minnesota Hospital and Clinic, Departments of Pediatrics, Family Practice, Surgery, and Laboratory Medicine and Pathology, Minneapolis

The case report of a newborn infant with a splenic hemangioendothelioma with the life-threatening complications of thrombocytopenia, anemia, and disseminated intravascular coagulation is presented together with a review of the literature. Removal of the tumor via splenectomy, despite the known risk of subsequent over-whelming sepsis due to encapsulated organisms in the young child, is the treatment of choice for splenic hemangiomas complicated by thrombocytopenia. The use of enhanced CT with delayed filling is a diagnostic tool in the workup of suspected hemangiomatous lesions.

Key Words: spleen • hemangioma • heart failure • newborn • thrombocytopenia

Submitted on June 9, 1986
Accepted on August 4, 1986




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