Spontaneous splenic rupture in infectious mononucleosis.
Abdominal complaints in patients with infectious mononucleosis should alert the surgeon to the potential, and possibly fatal, risk of splenic rupture. Radiologic evaluation by ultrasonography and computed tomography is indicated for appropriate management. We describe a case in which a diagnosis of splenic rupture occurring spontaneously on a background of infectious mononucleosis was made as a result of a high index of suspicion. The patient was treated conservatively.
Khoo
Seng Guan
SG
Department of Otolaryngology-Head and Neck Surgery, Mid-Western Regional Hospital and the National Institute of Health Sciences, Limerick, Ireland. sgkhoo@hotmail.com
Ullah
Ihsan
I
Manning
Kevin P
KP
Fenton
John E
JE
D000293:Adolescent; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D007244:Infectious Mononucleosis / Q000150:complications*; D008297:Male; D012075:Remission, Spontaneous; D013158:Splenic Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology; D013161:Splenic Rupture / Q000000981:diagnostic imaging / Q000209:etiology*; D013163:Splenomegaly / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology; D013997:Time Factors; D014463:Ultrasonography