Spontaneous splenic haematoma in a teenager with infectious mononucleosis.
Spontaneous subcapsular splenic hematoma formation without rupture in infectious mononucleosis is a very unusual occurrence. Splenic rupture in infectious mononucleosis (Pfeiffer disease, or glandular fever) is a rare but life-threatening complication. A conservative management is successful in those patients in stable condition. We describe the presentation and the clinical progress of a case in whom a sudden enlargement in hematoma's diameter needed a splenectomy to avoid the risk of blood effusion in the abdominal cavity. The contribution of the sonographic examination and follow-up in the diagnosis of infectious mononucleosis is emphasised.
Halkic
Nermin
N
Department of Surgery, University Hospital (CHUV), Lausanne, Switzerland.
Jayet
Cristian
C
Pezzetta
Edgardo
E
Mosimann
Francois
F
D000293:Adolescent; D005260:Female; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D007244:Infectious Mononucleosis / Q000150:complications*; D012422:Rupture, Spontaneous; D013158:Splenic Diseases / Q000209:etiology; D013161:Splenic Rupture / Q000209:etiology*