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Archives de pédiatrie
Volume 22, n° 12
pages 1260-1262 (décembre 2015)
Doi : 10.1016/j.arcped.2015.09.016
Received : 8 June 2014 ;  accepted : 23 September 2015
Hamartome splénique, thrombopénie sévère et macrocrânie chez un nouveau-né
Splenic hamartoma, severe thrombocytopenia, and macrocrania in a neonate: A case study
 

M.A. Radouani a, b, S. Azzaoui a, b, C. Mammad a, b, H. Knouni a, b, K. Chefchaouni a, b, I. Benchekroun a, b, A. Barkat a, , b
a Service de médecine et réanimation néonatales, Centre national de néonatologie et nutrition, hôpital d’Enfants, centre hospitalier Ibn Sina, boulevard Ibn Rochd, Souissi 10100, Rabat, Maroc 
b Équipe de recherche en santé et nutrition du couple mère–enfant, faculté de médecine et de pharmacie de Rabat, université Mohammed V Souissi, Rabat, Maroc 

Auteur correspondant.
Résumé

Nous rapportons un cas d’hamartome splénique associé à une macrocrânie diagnostiqué chez un nouveau-né. Le diagnostic a été fait devant l’existence d’une masse abdominale identifiée à 1 jour de vie. L’échographie et la tomodensitométrie abdominales ont étayé le diagnostic. L’étude histologique était peu concluante. L’indication chirurgicale n’a pas été retenue. À travers une revue de la littérature, les aspects cliniques, radiologiques, histologiques sont discutés. À notre connaissance, l’association d’un splénome néonatal, d’une thrombopénie et d’une macrocrânie n’a jamais été rapportée.

The full text of this article is available in PDF format.
Summary

We report a case of splenic hamartoma associated with neonatal macrocrania diagnosed in a newborn. The diagnosis was made in the first 2 days of life upon the existence of an abdominal mass in the newborn infant. Abdominal ultrasound and abdominal computed tomography supported the diagnosis, but the histological study was inconclusive. The indication for surgery is still controversial. Through a literature review, the clinical, histological, and radiological aspects are discussed. The combination of neonatal hamartoma, thrombocytopenia, and macrocrania has never been reported.

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