ABSTRACT

Splenic rupture is a rare and severe condition in neonates. The signs and symptoms are vague and non-specific and are often not recognised before the onset of hypovolaemic shock or death. A 2-day-old infant presented with scrotal ecchymosis, and ultrasonography detected haemorrhage in the scrotal, right inguinal and adrenal regions. Computed tomography demonstrated a peri-splenic haematoma. Haemoglobin (Hb) was 2.79 g/dL and, despite repeated transfusions, the Hb level could not be sustained. Exploratory laparotomy detected a large haematoma in the splenic region, and, because of the uncontrolled haemorrhage, splenectomy was required.

中文翻译：

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2 日龄新生儿脾破裂表现为明显的阴囊瘀斑

摘要

脾破裂在新生儿中是一种罕见且严重的疾病。体征和症状是模糊的和非特异性的，并且通常在低血容量性休克或死亡发作之前未被识别。一名 2 天大的婴儿出现阴囊瘀斑，超声检查发现阴囊、右侧腹股沟和肾上腺区域有出血。计算机断层扫描显示脾周围血肿。血红蛋白 (Hb) 为 2.79 g/dL，尽管反复输血，但 Hb 水平仍无法维持。剖腹探查发现脾脏区域有大血肿，由于出血不受控制，需要进行脾切除术。