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Neonatal cardiorespiratory failure caused by splenic hemorrhages: a case report on a fatal and a rescued case.
Jansen, Nadieh A; T M Dittrich, Anne; Backes, Manouk; Kusters, Benno; M Klein, Willemijn; Hundscheid, Tim.
Afiliación
  • Jansen NA; Department of Pediatrics, Division of Neonatology, Radboud University Medical Center, Amalia Children's Hospital, Nijmegen, The Netherlands.
  • T M Dittrich A; Department of Pediatrics, Radboud University Medical Center Radboud University Medical Center, Amalia Children's Hospital, Nijmegen, The Netherlands.
  • Backes M; Department of Pediatric Surgery, Radboud University Medical Center Radboud University Medical Center, Amalia Children's Hospital, Nijmegen, The Netherlands.
  • Kusters B; Department of Pathology, Radboud University Medical Center, Nijmegen, The Netherlands.
  • M Klein W; Department of Medical Imaging, Radboud University Medical Center, Nijmegen, The Netherlands.
  • Hundscheid T; Department of Pediatrics, Division of Neonatology, Radboud University Medical Center, Amalia Children's Hospital, Nijmegen, The Netherlands. tim.hundscheid@radboudumc.nl.
BMC Pediatr ; 24(1): 564, 2024 Sep 05.
Article en En | MEDLINE | ID: mdl-39237896
ABSTRACT
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hemorragia Límite: Female / Humans / Male / Newborn Idioma: En Revista: BMC Pediatr Asunto de la revista: PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hemorragia Límite: Female / Humans / Male / Newborn Idioma: En Revista: BMC Pediatr Asunto de la revista: PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido