[Conservative management of spontaneous splenic rupture as a complication of infectious mononucleosis: two case reports and literature review].
We report on conservative management of 2 patients with spontaneous splenic rupture associated with infectious mononucleosis. Both patients had an unremarkable hospital course and were discharged within 7 days of admission. Resolution of the haematoma was followed by ultrasound monitoring during the hospital stay. A literature review to 1999 shows that approximately 45 patients with serologically proven infectious mononucleosis have suffered spontaneous rupture of the spleen. Spontaneous splenic rupture is a rare but potentially fatal complication of infectious mononucleosis. Although splenectomy has been advocated in the past as the definitive therapy, we recommend that non-surgical management be considered in haemodynamically stable patients, to avoid the complications of splenectomy (e.g. post-splenectomy sepsis).
Steiner-Linder
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A
Departement für Innere Medizin, Kantonsspital Winterthur.
Ballmer
P E
PE
Haller
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A
D000328:Adult; D006406:Hematoma; D006801:Humans; D007244:Infectious Mononucleosis / Q000150:complications*; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D013158:Splenic Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*