ISOLATED SPLENIC HEMANGIOMA PRESENTING WITH BLEEDING INTO SEROUS BODYCAVITIES

We present two children with massive bleeding into the serous body cav ities accompanied by intractable consumption coagulopathy. One had a l arge spleen palpable at admission, the other developed progressive spl enomegaly while in hospital. Neither child had any external evidence o f angiomatous lesions. A splenic hemangioma was suspected clinically a nd on abdominal ultrasound; the diagnosis was confirmed at laparotomy. Splenectomy resulted in a prompt cure in both cases.