title: Infectious mononucleosis presenting as spontaneous splenic rupture without other symptoms.
abstract: Splenic rupture is an uncommon complication of infectious mononucleosis (IM), occurring in 0.1% to 0.5% of all patients. It remains the most common lethal complication of IM. Rupture of the spleen with no other symptoms of IM is almost unheard of. This is the report of a case of spontaneous splenic rupture requiring splenectomy in a patient with a positive heterophil antibody test and no other signs or symptoms of IM. The diagnosis and management of splenic rupture in IM are discussed.
authors.affiliation: Department of Surgery, United States Naval Hospital Okinawa, Japan.
authors.forename: Zsolt T
authors.initials: ZT
authors.lastname: Stockinger
mesh_terms: D000328:Adult; D006801:Humans; D007244:Infectious Mononucleosis / Q000150:complications*; D008297:Male; D013156:Splenectomy; D013161:Splenic Rupture / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed