Segmentary Splenectomy of the Lower Tip Because of Spontaneous Rupture of a Splenic Hemangioendothelioma in a New-Born Child - A Case Report

Severe Anemia in the Newborn Nursery

“…The underlying cause for the bleeding is highly variable. One case describes maternal trauma prior to delivery as the possible cause for splenic damage, 6 but most cases assume the delivery itself was the inciting event, especially in the case of a traumatic or difficult delivery, 2,7-9 an intrinsic bleeding disorder such as hemophilia A 10-12 or other clinical entities such as a wandering spleen, 13 splenic hemangioendothelioma, 14 and splenomegaly caused by erythroblastosis fetalis. 15 Many cases are idiopathic, 2,4 with no cause identified, such as this case.…”

“…Historically, the management for splenic injury was splenectomy, but in more recent years, the immunological protection the spleen confers has shifted the preference to conserving the spleen if able with surgical methods aimed at achieving hemostasis, 2,7,14 and if the infant is hemodynamically stable, the preferred management is nonoperative. The first report of nonoperative management of neonatal splenic rupture was in 2000, 7 and this case describes the sixth.…”

Primary Splenic Hemangioendothelioma: A Case Report and Literature Review

“…11 In another case, splenic HE was diagnosed in a newborn infant who had segmental splenectomy due to hypovolemic shock which had been caused by spontaneous rupture of the spleen; a year later, splenic functions were totally normal. 12 By now, only two pediatric cases have been reported in literature; the first case was a 9-year-old male with HE of the liver and spleen who had received a partial splenectomy, however, he succumbed to consumptive coagulopathy. 9 The second one, was the case of a 9-year-old female patient with splenic HE, who underwent a partial splenectomy.…”

Hemangioma esplênico e Síndrome de Kasabach-Merritt como diagnóstico diferencial de massa abdominal do recém-nascido

“…We found only 22 previous cases in children, some of them presenting just similar pathologic studies (angioma, haemangioendothelioma, and haemangiohamartoma). 2,[4][5][6][7][8][9] Only four out of those 22 were newborns, two presented with haemangioma, two presented with haemangioendothelioma. 2,4,6,9 Figure 3.…”

“…2,[4][5][6][7][8][9] Only four out of those 22 were newborns, two presented with haemangioma, two presented with haemangioendothelioma. 2,4,6,9 Figure 3. Cross-sectional aspect of the surgical specimen.…”