Research Article | | Peer-Reviewed

Neonatal Hemoperitoneum on Splenic Rupture Associated with Uterine Fundal Pressure (Kristeller Maneuver) at the Pediatric Hospital of Kalembe Lembe

Received: 10 July 2023    Accepted: 2 August 2023    Published: 31 October 2023
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Abstract

Objective: description of a case of neonatal hemoperitoneum due to splenic rupture after delivery by Kristeller obstetric maneuver in a country with limited resources. Methods: This is a clinical observation of a case of neonatal hemoperitoneum due to splenic rupture after vaginal delivery following Kristeller obstetric maneuvers. The newborn presented on the 4th day of life with fever, anemic shock and abdominal distension for which ultrasound exploration showed a hyperechoic fluid collection suggesting peritonitis. Urgent surgical exploration revealed incoagulable blood fluid and a laceration of the spleen with two large hematomas. The surgical procedure consisted of a total splenectomy and aspiration of incoagulable blood. The postoperative course was simple and the newborn was discharged from the hospital on the eighteenth postoperative day. Conclusion: neonatal splenic rupture is a rare but serious cause of hemoperitoneum in the newborn

Published in World Journal of Medical Case Reports (Volume 4, Issue 4)
DOI 10.11648/j.wjmcr.20230404.11
Page(s) 44-47
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Newborn, Kristeller Maneuver, Splenic Rupture, Hemoperitoneum, Total Splenectomy

References
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[2] JL Alessandri, A Deschildre, E Daussac et al. Hemoperitoneum and splenic rupture in a newborn infant: case report. Pediatrics. 1993; 48 (1): 55-7.
[3] Jelle W. Raats, Lievay van Dam, Pieter J. van Doormaal et al. Neonatal Rupture of the Spleen: Successful Treatment with Splenic Artery Embolization. Am J Perinatol rep 2021; 11:e58–e60.
[4] Karen Driscoll, Louis C Benjamin, James C Gilbert et al Non- operative management of neonatal splenic rupture: case report. Am Surg. 2004; 70 (12): 1085-7.
[5] Han-Pi Chang, Ren-Huei Fu, Jainn -Jim Lin et al. Prognosis Factors and Clinical Features of Neonatal Splenic Rupture/ Hemorrhage: Two Cases Reports and Literature Review. doi: 10.3389/fped.2021.616247.
[6] Max Pachl, Khalid Elmalik, Martha Cohen et al. Broken splenic cavernous hemangioma in a neonate. J Pediatric Surg. 2008; 43 (2): 407-9.
[7] Aubrey- Bassler FK, et al. 613 cases of splenic rupture without risk factors or previously diagnosed disease: a systematic review. BMC EmergMed. 2012.
[8] Antonio Malvasi, Simona Zaami, Andrea Tinelli et al. Kristeller maneuvers or fundal pressure and maternal / neonatal morbidity: obstetric and judicial literature review. The Journal of Maternal-Fetal & Neonatal Medicine. doi.org/10.1080/14767058.2018.1441278
[9] Fady M, Shawky Moiety and Amal Z. Fundal pressure during the second stage of labor in a tertiary obstetric center: A prospective analysis. J. _ Obst. Gynecol. 2014: 40 (4); 946–953.
[10] Youssef A., Salsi G, Cataneo I et al. Fundal pressure in second stage of labor (Kristeller maneuver) is associated with increased risk of lifting ani muscle avulsion. Ultrasound Obstet Gynecol. 2019; 53 (1): 95-100.
[11] Grandvuillemin, G. Emeriaud, C. Jacquier et al. Splenic rupture in the neonatal period: a difficult diagnosis. j.arcped.2006; 14: 36–38.
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[13] Semra Pinar and Zekiye Karacam. Applying fundal pressure in the second stage of labor and its impact on mother and infant health. Health Care Women Int. 2018; 39 (1): 110-125.
[14] Iatrogenic splenic injury: review of the literature and medico-legal issues.
[15] Humphrey MR and Castle EP Micropourus polysaccharide hemospheres for management of laparoscopy trocar injury to the spleen. Am. J. Surg, 2009: 195; 99-103.
[16] Yamataka, Fujinara T, Tsuchioka T et al. Heterotopic splnic autotransplantation in a neonate with splenic rupture, leading to normal splenic function. J. Pediatr. Surg. 1996: 31; 239-240.
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Cite This Article
  • APA Style

    Dodo Lusungu, N., Jacques Kalongo, J., Mfulani, G., Ndjoko, S., Kitetele, F., et al. (2023). Neonatal Hemoperitoneum on Splenic Rupture Associated with Uterine Fundal Pressure (Kristeller Maneuver) at the Pediatric Hospital of Kalembe Lembe. World Journal of Medical Case Reports, 4(4), 44-47. https://doi.org/10.11648/j.wjmcr.20230404.11

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    ACS Style

    Dodo Lusungu, N.; Jacques Kalongo, J.; Mfulani, G.; Ndjoko, S.; Kitetele, F., et al. Neonatal Hemoperitoneum on Splenic Rupture Associated with Uterine Fundal Pressure (Kristeller Maneuver) at the Pediatric Hospital of Kalembe Lembe. World J. Med. Case Rep. 2023, 4(4), 44-47. doi: 10.11648/j.wjmcr.20230404.11

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    AMA Style

    Dodo Lusungu N, Jacques Kalongo J, Mfulani G, Ndjoko S, Kitetele F, et al. Neonatal Hemoperitoneum on Splenic Rupture Associated with Uterine Fundal Pressure (Kristeller Maneuver) at the Pediatric Hospital of Kalembe Lembe. World J Med Case Rep. 2023;4(4):44-47. doi: 10.11648/j.wjmcr.20230404.11

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  • @article{10.11648/j.wjmcr.20230404.11,
      author = {Noel Dodo Lusungu and Jean Jacques Kalongo and Gibency Mfulani and Sylvie Ndjoko and Faustin Kitetele and Theodore Mbala and Catherine Akele and Berthe Barhayiga},
      title = {Neonatal Hemoperitoneum on Splenic Rupture Associated with Uterine Fundal Pressure (Kristeller Maneuver) at the Pediatric Hospital of Kalembe Lembe},
      journal = {World Journal of Medical Case Reports},
      volume = {4},
      number = {4},
      pages = {44-47},
      doi = {10.11648/j.wjmcr.20230404.11},
      url = {https://doi.org/10.11648/j.wjmcr.20230404.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjmcr.20230404.11},
      abstract = {Objective: description of a case of neonatal hemoperitoneum due to splenic rupture after delivery by Kristeller obstetric maneuver in a country with limited resources. Methods: This is a clinical observation of a case of neonatal hemoperitoneum due to splenic rupture after vaginal delivery following Kristeller obstetric maneuvers. The newborn presented on the 4th day of life with fever, anemic shock and abdominal distension for which ultrasound exploration showed a hyperechoic fluid collection suggesting peritonitis. Urgent surgical exploration revealed incoagulable blood fluid and a laceration of the spleen with two large hematomas. The surgical procedure consisted of a total splenectomy and aspiration of incoagulable blood. The postoperative course was simple and the newborn was discharged from the hospital on the eighteenth postoperative day. Conclusion: neonatal splenic rupture is a rare but serious cause of hemoperitoneum in the newborn
    },
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Neonatal Hemoperitoneum on Splenic Rupture Associated with Uterine Fundal Pressure (Kristeller Maneuver) at the Pediatric Hospital of Kalembe Lembe
    AU  - Noel Dodo Lusungu
    AU  - Jean Jacques Kalongo
    AU  - Gibency Mfulani
    AU  - Sylvie Ndjoko
    AU  - Faustin Kitetele
    AU  - Theodore Mbala
    AU  - Catherine Akele
    AU  - Berthe Barhayiga
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    DO  - 10.11648/j.wjmcr.20230404.11
    T2  - World Journal of Medical Case Reports
    JF  - World Journal of Medical Case Reports
    JO  - World Journal of Medical Case Reports
    SP  - 44
    EP  - 47
    PB  - Science Publishing Group
    SN  - 2994-726X
    UR  - https://doi.org/10.11648/j.wjmcr.20230404.11
    AB  - Objective: description of a case of neonatal hemoperitoneum due to splenic rupture after delivery by Kristeller obstetric maneuver in a country with limited resources. Methods: This is a clinical observation of a case of neonatal hemoperitoneum due to splenic rupture after vaginal delivery following Kristeller obstetric maneuvers. The newborn presented on the 4th day of life with fever, anemic shock and abdominal distension for which ultrasound exploration showed a hyperechoic fluid collection suggesting peritonitis. Urgent surgical exploration revealed incoagulable blood fluid and a laceration of the spleen with two large hematomas. The surgical procedure consisted of a total splenectomy and aspiration of incoagulable blood. The postoperative course was simple and the newborn was discharged from the hospital on the eighteenth postoperative day. Conclusion: neonatal splenic rupture is a rare but serious cause of hemoperitoneum in the newborn
    
    VL  - 4
    IS  - 4
    ER  - 

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Author Information
  • Neonatal and Pediatric Surgery Department, Kalembelembe Pediatric Hospital, Kinshasa, DRC; Pediatric Surgery Service of the Department of Surgery of the University Clinics of Kinshasa, Kinshasa, DRC

  • Neonatal and Pediatric Surgery Department, Kalembelembe Pediatric Hospital, Kinshasa, DRC; Department of Anesthesia-Resuscitation, University Clinics of Kinshasa, Kinshasa, DRC

  • Department of Anesthesia-Resuscitation, University Clinics of Kinshasa, Kinshasa, DRC

  • Neonatal and Pediatric Surgery Department, Kalembelembe Pediatric Hospital, Kinshasa, DRC; Department of Anesthesia-Resuscitation, University Clinics of Kinshasa, Kinshasa, DRC

  • Infectious Diseases Department, Kalembelembe Pediatric Hospital, Kinshasa, DRC

  • Neonatal and Pediatric Surgery Department, Kalembelembe Pediatric Hospital, Kinshasa, DRC; Neonatal Pediatric Kalembelembe Pediatric Hospital, Kinshasa, DRC

  • Neonatal Pediatric Kalembelembe Pediatric Hospital, Kinshasa, DRC

  • Pediatric Surgery Service of the Department of Surgery of the University Clinics of Kinshasa, Kinshasa, DRC

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