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

Abstract

<i>Objective</i>: description of a case of neonatal hemoperitoneum due to splenic rupture after delivery by Kristeller obstetric maneuver in a country with limited resources. <i>Methods</i>: 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. <i>Conclusion</i>: neonatal splenic rupture is a rare but serious cause of hemoperitoneum in the newborn