• 作者：I. Gr ; vuillemin ; G. Emeriaud ; C. Jacquier ; C. Piolat ; C. Dur ; D. Pasquier ; I. Wroblewski ; T. Debillon
• 关键词：Splenic rupture ; Infant ; newborn ; Mucopolysaccharidosis I ; Hurler's syndrome
• 刊名：Archives de Pediatrie
• 出版年：2007
• 出版时间：January 2007
• 年：2007
• 卷：14
• 期：1
• 页码：36-38
• 全文大小：122 K

Neonatal splenic injury is a rare but serious condition, due to the risk of haemorrhagic shock. We report on the case of a newborn infant with a neonatal respiratory distress that first evoked materno-fetal infection. Clinical deterioration, with anemia and abdominal distension, led then to the proper diagnosis. Dystocia seems to be the most likely cause of the splenic rupture in this report. Medical treatment is advocated as first line, while surgical treatment may be necessary in some cases. In the case surgery is inevitable, a conservative approach is preferable.