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CASE REPORT
Year : 2012  |  Volume : 9  |  Issue : 2  |  Page : 163-165

Splenic rupture and intracranial haemorrhage in a haemophilic neonate: Case report and literature review


1 Department of Surgery, The Brooklyn Hospital Center, Brooklyn NY 11201, USA
2 Department of Pathology, The Brooklyn Hospital Center, Brooklyn NY 11201, USA

Correspondence Address:
Ibrahim Adamu
Department of Surgery, The Brooklyn Hospital Center, Cornell University Weill Cornell Medical College, Brooklyn, NY 11201
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0189-6725.99408

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Splenic rupture and intracranial haemorrhage are life-threatening conditions infrequently encountered in neonates without history of birth trauma. External manifestations of birth trauma; namely, capput succadeneum and cephalhematoma, when present raise suspicions for more serious intracranial or visceral damage. Rupture of normal spleen without an obvious source of trauma in haemophilic neonate is a rare event. The concurrence of both conditions and the unusual presentation make this case a rare one that is seldom encountered in the literature. Additionally, when splenic rupture occurs, the consensus is to employ all non-operative techniques aimed at salvaging the spleen, thus avoiding the immune-compromised state associated with splenectomy. However, in this case, we present a 3-day-old male with family history of haemophilia A, who was diagnosed with splenic rupture and bilateral subdural haematomas and underwent splenectomy, albeit with post-operative complications, in light of haemodynamic instability and high ongoing transfusion requirements.


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