Nontraumatic Splenic Rupture due to Infectious Mononucleosis
Journal of Acute Care Surgery
;
(2): 69-71, 2019.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Baço
/
Esplenectomia
/
Ruptura Esplênica
/
Faringite
/
Dor Abdominal
/
Seguimentos
/
Herpesvirus Humano 4
/
Estrogênios Conjugados (USP)
/
Tosse
/
Tontura
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Journal of Acute Care Surgery
Ano de publicação:
2019
Tipo de documento:
Artigo
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