Abstract
We present two children with massive bleeding into the serous body cavities accompanied by intractable consumption coagulopathy. One had a large spleen palpable at admission, the other developed progressive splenomegaly while in hospital. Neither child had any external evidence of angiomatous lesions. A splenic hemangioma was suspected clinically and on abdominal ultrasound; the diagnosis was confirmed at laparotomy. Splenectomy resulted in a prompt cure in both cases.
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Bravo M, Aldunate G, Las-Heras J, Pumarino G (1989) Hemangioma of the spleen in a newborn infant. Post-splenectomy course and splenic autotransplantation. Rev Chil Pediatr 60: 40–43
Heading RC, McClelland DBL, Stuart AE, Hamilton T (1972) Ruptured angiomatous spleen presenting as a severe coagulation defect. Br J Surg 59: 492–494
Kasabach HH, Merritt KK (1940) Capillary haemangioma with extensive purpura. Am J Dis Child 59: 1063–1070
Larsen EC, Zinkham WH, Eggleston JC, Zitelli BJ (1987) Kasabach-Merritt syndrome: therapeutic considerations. Pediatrics 79: 971–980
Sencer S, Coulter-Knoff A, Day D, Foker J, Thompson Burke B (1987) Splenic haemangioma with thrombocytopaenia in a newborn. Paediatrics 79: 960–966
Thatcher LG, Clatanoff DV, SlTeom ER (1968) Splenic haemangioma with thrombocytopaenia and afibrinogenaemia. J Paediatr 73: 345–354
Zervos N, Vlachos J, Karpathios T, et al. (1967): Giant haemangioma of the spleen with thrombocytopaenia and fibrinogen deficiency. Acta Paediatr Scand [Suppl] 172: 206–209
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Meera, A.V., Sen, S., Raghupathy, P. et al. Isolated splenic hemangioma presenting with bleeding into serous body cavities. Pediatr Surg Int 10, 389–390 (1995). https://doi.org/10.1007/BF00182234
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DOI: https://doi.org/10.1007/BF00182234