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Splenic rupture in an extremely low birthweight infant
- Source :
- Journal of Pediatric Surgery Case Reports, Vol 63, Iss, Pp 101663-(2020)
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Splenic rupture is a rare event in preterm and term infants. Symptoms of splenic rupture include acute blood loss, abdominal distention, and hypotension. We present the case of a 24 4/7 weeks gestation male infant born in the setting of preterm premature rupture of membranes who developed splenic rupture at 24 hours of life. Initially, the infant was managed medically. As the symptoms of abdominal compartment syndrome worsened, a bedside exploratory laparotomy was performed. The infant died on day of life 16 after developing hyperkalemia and pulmonary hemorrhage during an exchange transfusion for profound hyperbilirubinemia. This is the first report describing the management of splenic rupture in an extremely premature infant.
- Subjects :
- medicine.medical_specialty
Abdominal compartment syndrome
Hyperkalemia
Exploratory laparotomy
medicine.medical_treatment
Day of life
lcsh:Surgery
Exchange transfusion
03 medical and health sciences
0302 clinical medicine
030225 pediatrics
medicine
business.industry
lcsh:RJ1-570
lcsh:Pediatrics
lcsh:RD1-811
medicine.disease
Surgery
030220 oncology & carcinogenesis
Pediatrics, Perinatology and Child Health
Gestation
Pulmonary hemorrhage
medicine.symptom
business
Premature rupture of membranes
Subjects
Details
- ISSN :
- 22135766
- Volume :
- 63
- Database :
- OpenAIRE
- Journal :
- Journal of Pediatric Surgery Case Reports
- Accession number :
- edsair.doi.dedup.....d1ae57909ebbf42229e8b127fdde4790