Neonatal cardiorespiratory failure caused by splenic hemorrhages: a case report on a fatal and a rescued case.
Birth trauma
Case report
Neonate
Splenic bleeding
Splenic hemorrhage
Journal
BMC pediatrics
ISSN: 1471-2431
Titre abrégé: BMC Pediatr
Pays: England
ID NLM: 100967804
Informations de publication
Date de publication:
05 Sep 2024
05 Sep 2024
Historique:
received:
03
04
2024
accepted:
08
08
2024
medline:
6
9
2024
pubmed:
6
9
2024
entrez:
5
9
2024
Statut:
epublish
Résumé
Two cases of neonatal splenic hemorrhage with acute cardiorespiratory failure are described in this report. The first case involves a full-term neonate who was found unresponsive without any witnesses and could not be successfully resuscitated. A postmortem diagnosis revealed a splenic hemorrhage. Second case is an extremely premature neonate who experienced a witnessed cardiovascular collapse on the 14th day of life. Rapid cardiovascular support was administered, resulting in a positive outcome. While splenic hemorrhage is commonly associated with traumatic events, these cases highlight the need of considering spontaneous splenic hemorrhages as a potential cause of acute neonatal compromise, even in the absence of birth-related trauma (e.g., asphyxia, prolonged labor, clavicle fractures, brachial plexus injuries). This report emphasizes the importance of including splenic hemorrhage timely in the differential diagnosis of neonatal cardiorespiratory instability, especially in the absence of more common diagnoses, and discusses the challenges associated with its recognition and treatment.
Identifiants
pubmed: 39237896
doi: 10.1186/s12887-024-05002-8
pii: 10.1186/s12887-024-05002-8
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
564Informations de copyright
© 2024. The Author(s).
Références
Gomella TL, Eyal FG, Bany-Mohammed F. Gomella’s Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, 8e. New York, NY: McGraw-Hill Education; 2020.
De Jong WJ, Nellensteijn DR, Ten Duis HJ, Albers MJ, Moumni ME, Hulscher JB. Blunt splenic trauma in children: are we too careful? Eur J Pediatr Surg. 2011;21(4):234–7.
doi: 10.1055/s-0031-1273692
pubmed: 21404168
Kirkegård J, Avlund TH, Amanavicius N, Mortensen FV, Kissmeyer-Nielsen P. Non-operative management of blunt splenic injuries in a paediatric population: a 12-year experience. Dan Med J. 2015;62(2):A4998.
Chang HP, Fu RH, Lin JJ, Chiang MC. Prognostic Factors and Clinical Features of Neonatal Splenic Rupture/Hemorrhage: Two Cases Reports and Literature Review. Front Pediatr. 2021;9: 616247.
doi: 10.3389/fped.2021.616247
pubmed: 33569364
pmcid: 7868555
Eraklis AJ. Abdominal injury related to the trauma of birth. Pediatrics. 1967;39(3):421–4.
doi: 10.1542/peds.39.3.421
pubmed: 6018973
Hui CM, Tsui KY. Splenic rupture in a newborn. J Pediatr Surg. 2002;37(4):E3.
doi: 10.1053/jpsu.2002.31641
pubmed: 11912538
Perdomo Y, Fiore N, Reyna T. Splenic injury presenting with isolated scrotal findings in a stable newborn. J Pediatr Surg. 2003;38(11):1673–5.
doi: 10.1016/S0022-3468(03)00581-5
pubmed: 14614724
Descamps CS, Cneude F, Hays S, Rayet I, Piolat C, Epiard C, Debillon T. Early hypovolemic shock and abdominal distention due to neonatal splenic rupture: urgency of diagnosis and management. Eur J Pediatr. 2017;176(9):1245–50.
doi: 10.1007/s00431-017-2968-y
pubmed: 28785796
Tiboni S, Abdulmajid U, Pooboni S, Wighton C, Eradi B, Dagash H. Spontaneous Splenic Hemorrhage in the Newborn. European J Pediatr Surg Rep. 2015;3(2):71–3.
doi: 10.1055/s-0035-1564610
pubmed: 26788451
pmcid: 4712061
Ting JY, Lam BC, Ngai CS, Leung WC, Chan KL. Splenic rupture in a premature neonate. Hong Kong Med J. 2006;12(1):68–70.
pubmed: 16495593
Ardley R, Carone L, Smith S, Spreadborough S, Davies P, Brooks A. Blunt splenic injury in children: haemodynamic status key to guiding management, a 5-year review of practice in a UK major trauma centre. Eur J Trauma Emerg Surg. 2019;45(5):791–9.
pubmed: 30251151
Yung N, Solomon D, Schuster K, Christison-Lagay E. Closing the gap in care of blunt solid organ injury in children. J Trauma Acute Care Surg. 2020;89(5):894–9.
doi: 10.1097/TA.0000000000002757
pubmed: 32345899