title: CT diagnosis of a clinically unsuspected acute appendicitis complicating infectious mononucleosis.
abstract: Acute appendicitis is a rare complication of infectious mononucleosis (IM). We describe a patient with IM and splenic rupture with a computerized tomography (CT) diagnosis of acute appendicitis during the acute phase of the infectious disease. Diagnostic imaging features of acute appendicitis were found on an abdominal CT performed for the evaluation of postoperative fever. Histologic examination confirmed the CT diagnosis of the clinically unsuspected acute appendicitis. Our case is unique both for the rarity of this complication and the lack of clinical symptoms.
authors.affiliation: Department of Diagnostic Imaging, Meir Hospital, Sapir Medical Center, Kfar-Saba 44281, Israel.
authors.forename: R
authors.initials: R
authors.lastname: Zissin
authors.forename: O
authors.initials: O
authors.lastname: Brautbar
authors.forename: M
authors.initials: M
authors.lastname: Shapiro-Feinberg
mesh_terms: D000208:Acute Disease; D000328:Adult; D001064:Appendicitis / Q000000981:diagnostic imaging* / Q000209:etiology; D005260:Female; D006465:Hemoperitoneum / Q000209:etiology; D006801:Humans; D007244:Infectious Mononucleosis / Q000150:complications*; D013161:Splenic Rupture / Q000209:etiology; D014057:Tomography, X-Ray Computed