Nontraumatic Splenic Rupture due to Infectious Mononucleosis
Journal of Acute Care Surgery
;
(2): 69-71, 2019.
Article
in English
| WPRIM
| ID: wpr-785888
ABSTRACT
A 19-year-old otherwise healthy male presented to the Emergency Department with left upper quadrant abdominal pain having felt a “pop” in his abdomen which was followed by nausea and lightheadedness. There was no evidence of trauma but 3 weeks earlier he began with symptoms of a sore throat and nasal congestion without cough. On subsequent investigation, given the patient's acute abdominal pain, abnormal vitals and a non-diagnostic computed tomography scan, an emergent exploratory laparotomy was performed. There was 600 mL of blood evacuated from the abdomen. A 643-gram inflamed and ruptured spleen was identified and removed, and follow-up lab work was positive for heterophile antibody. This report describes spontaneous splenic rupture caused by infectious mononucleosis and compares characteristics of traumatic versus non-traumatic cases.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Spleen
/
Splenectomy
/
Splenic Rupture
/
Pharyngitis
/
Abdominal Pain
/
Follow-Up Studies
/
Herpesvirus 4, Human
/
Estrogens, Conjugated (USP)
/
Cough
/
Dizziness
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
/
Male
Language:
English
Journal:
Journal of Acute Care Surgery
Year:
2019
Type:
Article
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