Nontraumatic Splenic Rupture due to Infectious Mononucleosis
10.17479/jacs.2019.9.2.69
- Author:
Elliot A FRANK
1
;
James R LAFLEUR
;
Stanley OKOSUN
Author Information
1. Lincoln Family Medicine Residency Program, Lincoln Medical Education Partnership, Lincoln, NE, USA. elliotfrankmd@gmail.com
- Publication Type:Case Report
- Keywords:
Epstein-Barr virus;
infectious mononucleosis;
splenectomy;
splenic rupture
- MeSH:
Abdomen;
Abdominal Pain;
Cough;
Dizziness;
Emergency Service, Hospital;
Estrogens, Conjugated (USP);
Follow-Up Studies;
Herpesvirus 4, Human;
Humans;
Infectious Mononucleosis;
Laparotomy;
Male;
Nausea;
Pharyngitis;
Spleen;
Splenectomy;
Splenic Rupture;
Young Adult
- From:
Journal of Acute Care Surgery
2019;9(2):69-71
- CountryRepublic of Korea
- Language:English
-
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.
