[Perirenal hematoma, adrenal hemorrhage and multiple splenic ruptures in a newborn infant. Therapeutic problems: renal risk. Saving the spleen].

A case of rightsided adrenal hemorrhage and multiple splenic ruptures by birth trauma in a newborn is described. The right kidney was impaired by compression of a voluminous retroperitoneal hematoma. In spite of persistent blood supply the kidney is hypoplastic and remains with secretory function two months after operation. The authors recommend surgery in all cases of voluminous retroperitoneal hematoma with an impaired kidney. The spleen was preserved by plugging with styptic sponges. Importance of abdominal drainage for control of splenic bleeding and blood replacement in the postoperative course is stressed.