Splenic rupture is relatively a rare and life threatening situation in the newborn. The classic triad of the disease is shock, anemia, and abdominal distension. Non-traumatic etiologies are seldom and one of them is exchange transfusion which was performed due to underlying erythroblastosis fetalis as discussed. A high index of suspicion and prompt treatment are critical to the survival of these neonates.
Key words: Splenic rupture, neonate, erythroblastosis fetalis, exchange transfusion.
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