Splenic rupture in a premature neonate.

Correspondence to: Dr JY Ting (e-mail: tingyj@hkucc.hku.hk) JY Ting BCC Lam CSW Ngai WC Leung KL Chan Splenic injuries are very rare in neonates. We report a case of splenic injury in a premature neonate, highlighting the importance of a high-index suspicion in early recognition of this rare but potentially fatal intraabdominal injury. We also review the literature on possible aetiologies and mechanism of splenic injury, as well as its management. This is the first reported case of a very low-birth-weight neonate with splenic rupture who survived with intact neurology.