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Isolated splenic hemangioma presenting with bleeding into serous body cavities |
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| Authors: | A. V. Meera S. Sen P. Raghupathy D. Walter M. Chandy H. Krishnaswami J. Chacko N. Zachariah K. E. Mammen |
| Affiliation: | (1) Department of Pediatric Surgery, Christian Medical College Hospital, Vellore, 632004 Tamil Nadu, India;(2) Department of Child Health, Christian Medical College Hospital, Vellore, 632004 Tamil Nadu, India;(3) Department of Radiodiagnosis, Christian Medical College Hospital, Vellore, 632004 Tamil Nadu, India;(4) Department of Hematology, Christian Medical College Hospital, Vellore, 632004 Tamil Nadu, India;(5) Department of Pathology, Christian Medical College Hospital, Vellore, 632004 Tamil Nadu, India |
| 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. |
| Keywords: | Splenic hemangioma Kasabach-Merritt syndrome Hemopericardium Hemothorax Hemoperitoneum |
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