Nontraumatic Splenic Rupture due to Infectious Mononucleosis
Journal of Acute Care Surgery
;
(2): 69-71, 2019.
Article
Dans Anglais
| 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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Rate
/
Splénectomie
/
Rupture de rate
/
Pharyngite
/
Douleur abdominale
/
Études de suivi
/
Herpèsvirus humain de type 4
/
Oestrogènes conjugués (USP)
/
Toux
/
Sensation vertigineuse
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Journal of Acute Care Surgery
Année:
2019
Type:
Article
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