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Neonatal splenic necrosis not related to wandering spleen.
Authors:J Estev?o-Costa  J Correia-Pinto  A Fragoso  M Soares-Oliveira  J Luis Carvalho
Affiliation:Division of Paediatric Surgery, Faculty of Medicine, S. Jo?o Hospital, Porto, Portugal. estevao.costa@hsjoao.min-saude.pt
Abstract:Splenic necrosis is extremely rare in neonates, the cases recorded so far being secondary to torsion of wandering organs. A newborn with an abdominal mass who underwent exchange transfusions through an umbilical catheter is presented here. Comprehensive investigation led to the suspicion of enteric duplication, but a splenic necrosis with no features of wandering spleen was found at laparotomy. The pathogenesis and preoperative diagnostic work-up of splenic necrosis are emphasised.
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