World Journal of Medical Case Reports

Submit a Manuscript

Publishing with us to make your research visible to the widest possible audience.

Propose a Special Issue

Building a community of authors and readers to discuss the latest research and develop new ideas.

Research Article |

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

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

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

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

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

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

Copyright © 2023 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

1. Claire-Sophie Descamps, Fabrice Cneude, Stephane Hays et al. Early hypovolemic shock and abdominal distention due to neonatal splenic breaking: urgency of diagnosis and management. Eur J Pediatr 2017; 176: 1245-50.
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.
12. Bickler S, Ramachandran V, GK Gittes et al. Nonoperative management of newborn splenic injury: a case report. J. Pediatr Surg. 2000; 35 (3): 500–501.
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.
17. Safae El Abbadi, Fatima Zahra Rhouni, Laila Jroundi et al. Spontaneous splenic rupture: about a case and review of the literature. Pan Afr Med J. 2017: 29; 27: 62.