A Rare Case of Spontaneous Neonatal Splenic Haemorrhage

Authors

  • Noor Khairiah Kamaludin
  • Rajeev Shamsuddin Perisamy

DOI:

https://doi.org/10.32896/tij.v5n3.1-5

Keywords:

Neonatal splenic haemorrhage, neonatal anaemia, hemoperitoneum, abdominal ultrasound, splenectomy

Abstract

Background: Spontaneous splenic haemorrhage in neonates is extremely rare and often fatal due to delayed diagnosis from non-specific clinical signs.

Case Presentation: A term neonate presented on day two of life with pallor, tachycardia, and abdominal distension. Severe anaemia was noted. Ultrasound revealed a heterogeneous peri-splenic mass; CT confirmed a large peri-splenic hematoma and hemoperitoneum. Despite emergent splenectomy, the infant deteriorated and received palliative care.

Conclusion: Neonatal splenic haemorrhage, though rare, should be considered in neonates with unexplained anaemia and abdominal distension. Early imaging is critical for diagnosis and timely intervention.

References

Gruenwald P. Rupture of liver and spleen in the newborn infant. J Pediatr. 1948;33(2):195–201.

Descamps CS, Cneude F, Hays S, et al. Early hypovolemic shock and abdominal distention due to neonatal splenic rupture: urgency of diagnosis and management. Eur J Pediatr. 2017;176(9):1245-1250. doi:10.1007/s00431-017-2968-y

Hui CM, Tsui KY (2002) Splenic rupture in a newborn. J Pediatr Surg 37:E3

Bickler S, Ramachandran V, Gittes G K, Alonso M, Snyder C L. Nonoperative management of newborn splenic injury: a case report. J Pediatr Surg. 2000;35(3):500–501.

Lewis L, Sanoj K, Poojari G, Kamath PS. Neonate subcapsular splenic hematoma. Indian J Pediatr. (2008) 75:950–2. 10.1007/s12098-008-0199-y

Rothenberger D A, Horrigan T P, Sturm J T. Neonatal death following in utero traumatic splenic rupture. J Pediatr Surg. 1981;16(5):754–755.

Acar K, Cinbis M. A Neonatal Death Due to Rupture of the Normal Spleen. Int J Pediatr Neonatol. 2000;2(1):4928.

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):71-73. doi:10.1055/s-0035-1564610

Blaivas M, Quinn J: Diagnosis of spontaneous splenic rupture with emergency ultrasonography. Ann Emerg Med 32:627-30, 1998

Williams RA, Black JJ, Sinow RM, Wilson ES. Computed tomography-assisted management of splenic trauma. Am J Surg. (1997) 174:276–9. 10.1016/S0002-9610(97)00135-9

Orloff M J, Peskin G W. Spontaneous rupture of the normal spleen; a surgical enigma. Int Abstr Surg. 1958;106(1):1–11.

Downloads

Published

2025-09-30

How to Cite

Noor Khairiah Kamaludin, & Shamsuddin Perisamy, R. (2025). A Rare Case of Spontaneous Neonatal Splenic Haemorrhage. The Interventionalist Journal, 5(3), 1–5. https://doi.org/10.32896/tij.v5n3.1-5