Lewis Leslie, Sanoj K M, Poojari Ganesh, Kamath Sowmini P
Department of Pediatrics, Kasturba Medical College, Manipal, Karnataka, India.
Indian J Pediatr. 2008 Sep;75(9):950-2. doi: 10.1007/s12098-008-0199-y. Epub 2008 Nov 15.
Splenic hematoma is an unusual event in newborn babies. The present study report a two day old infant who presented to us in shok with severe pallor and abdominal distension. Initially ultrasonography of evaluation by ultrasound (US) revealed a left adrenal hemorrhage but was subsequently confirmed to be a subcapsular splenic hematoma by computed tomography (CT) scan of the abdomen. This article highlights the utility of CT scan in diagnosis although review of literature shows ultrasonography to be primary screening investigative modality for abdominal visceral bleeds in the neonatal period.
脾血肿在新生儿中是一种不常见的情况。本研究报告了一名两天大的婴儿,该婴儿因严重苍白和腹胀而休克被送至我们处。最初超声检查显示为左肾上腺出血,但随后经腹部计算机断层扫描(CT)证实为脾包膜下血肿。本文强调了CT扫描在诊断中的作用,尽管文献回顾表明超声检查是新生儿期腹部内脏出血的主要筛查检查方式。