title: Nonsurgical management of complicated splenic rupture in infectious mononucleosis.
abstract: We report on a 35-year-old man who presented to the emergency department with acute abdominal pain, postural hypotension, and tachycardia after having been diagnosed with Epstein-Barr virus infection 1 week before. Abdominal ultrasound and computed tomography revealed splenic rupture, and the patient underwent successful proximal angiographic embolization of the splenic artery. The course was complicated by painful splenic necrosis and respiratory insufficiency due to bilateral pleural effusions. Six weeks later, he additionally developed severe sepsis with Propionibacterium granulosum due to an intrasplenic infected hematoma, which required drainage. All complications were treated without surgical splenectomy, and the patient finally made a full recovery.
authors.affiliation: Clinic for Internal Medicine, Buelach Hospital, CH 8180 Buelach, Switzerland. fabienne.jenni@spitalbuelach.ch
authors.forename: Fabienne
authors.initials: F
authors.lastname: Jenni
authors.forename: Barbara
authors.initials: B
authors.lastname: Lienhardt
authors.forename: Gabriela
authors.initials: G
authors.lastname: Fahrni
authors.forename: Bernd
authors.initials: B
authors.lastname: Yuen
mesh_terms: D000193:Actinomycetales Infections / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D000328:Adult; D004322:Drainage; D004621:Embolization, Therapeutic; D006801:Humans; D007244:Infectious Mononucleosis / Q000150:complications*; D008297:Male; D011424:Propionibacterium / Q000302:isolation & purification; D018805:Sepsis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D013161:Splenic Rupture / Q000150:complications / Q000175:diagnosis / Q000628:therapy*