Nonsurgical management of complicated splenic rupture in infectious mononucleosis

Jenni, Fabienne; Yuen, Bernd; Lienhardt, Barbara; Fahrni, Gabriela

doi:10.1016/j.ajem.2013.02.033

Cited by 5 publications

(4 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As our patient started feeling severe pain while she was playing volleyball, the most likely cause of the splenic rupture is sudden compression of the enlarged spleen. Splenic rupture, especially when a patient is hemodynamically unstable, should be treated by splenectomy, while some authors recommend transcatheter arterial embolization [1,8]. We have treated our patient by splenectomy after a surgical consultation, in order to prevent sudden death.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous splenic rupture in infectious mononucleosis

Odalovic¹,

Jovanović

Stolić³

et al. 2018

Srp Arh Celok Lek

View full text Add to dashboard Cite

Introduction Spontaneous splenic rupture is a rare but potentially fatal complication of infectious mononucleosis (IM). It occurs in only 0.1-0.5% of cases of this disease. The aim of this paper was to present a case with spontaneous splenic rupture after IM. Case outline A 22-year-old female patient was feeling better one month after she was treated for infectious mononucleosis, and started training volleyball. Two weeks after starting the training, she felt severe abdominal pain. The diagnosis of rupture was confirmed with computer tomography. Splenectomy was successfully performed. The postoperative course was uneventful and the patient recovered with no need for blood transfusion. Conclusion Timely diagnosis and setting indications for surgical treatment are crucial in healing. Patients should wait to start with sport activities at least two months if the size of the spleen is within normal range.

show abstract

Section: Discussionmentioning

confidence: 99%

Spontaneous splenic rupture in infectious mononucleosis

Odalovic¹,

Jovanović

Stolić³

et al. 2018

Srp Arh Celok Lek

View full text Add to dashboard Cite

show abstract

“…Transcatheter angiographic embolization is another established and effective method for controlling arterial bleeding from solid‐organ injury 12 . Nevertheless, angiographic embolization might cause severe complications, such as inflammatory peritonitis and organ necrosis 13 , 29 . In its place, thermal ablation should be considered as an alternative to achieve hemostasis.…”

Section: Discussionmentioning

confidence: 99%

“…12 Nevertheless, angiographic embolization might cause severe complications, such as inflammatory peritonitis and organ necrosis. 13,29 In its place, thermal ablation should be considered as an alternative to achieve hemostasis. An animal study 20 confirmed that it could effectively control hemorrhage in those with severe liver injuries accompanied by coagulopathy.…”

Section: Discussionmentioning

confidence: 99%

Contrast‐Enhanced Sonographically Guided Thermal Ablation for Treatment of Solid‐Organ Hemorrhage

Zhou

Kuang

et al. 2015

J of Ultrasound Medicine

View full text Add to dashboard Cite

The purpose of this series was to preliminarily evaluate the use of contrast‐enhanced sonographically guided percutaneous thermal ablation in the evaluation and treatment of solid‐organ bleeding by retrospectively analyzing 6 cases observed in clinical practice. Six patients who underwent contrast‐enhanced sonographically guided thermal ablation for treatment of solid‐organ bleeding (5 in liver and 1 in spleen) from December 2005 to August 2012 were included in this series. Clinical information, contrast‐enhanced sonograms before and after ablation, and the ablation method were retrospectively collected and analyzed. In 5 of the 6 patients, the location of the bleeding lesion was clearly seen. Hemostasis was successfully achieved in 4 of these 5 patients: 1 by radiofrequency ablation and 3 by microwave ablation. Ablation failed to achieve hemostasis in 1 patient who had postbiopsy splenic arterial bleeding because the bleeding vessel was a thick branch of the splenic artery. In the sixth remaining patient, who had bleeding after liver biopsy, hemostasis failed because contrast‐enhanced sonography did not precisely locate the bleeding lesion; hence, the ablation zone did not cover the whole lesion. Contrast‐enhanced sonographically guided ablation can be an alternative choice for treating solid‐organ bleeding because of its effectiveness and minimal invasiveness. However, it should be carefully investigated for those in whom the bleeding lesion cannot be located by contrast‐enhanced sonography and in those who have bleeding in a large vessel.

show abstract

“…They can occur in a normal or pathological spleen. Treatment often consists of splenectomy, however with the advent of interventional radiology, and progress in resuscitation, splenic conservation is increasingly practiced [4] .…”

Section: Introductionmentioning

confidence: 99%

Spontaneous rupture of the spleen: An unexpected cause and specific treatment

Yassine

2024

Int. J. Case Rep. Surg.

View full text Add to dashboard Cite

Non-traumatic (or spontaneous) ruptures of the spleen (NTRS) are difficult to diagnose and are potentially fatal. The causes can be of infectious, tumoral or hematological origin. The classic treatment remains splenectomy but several recent studies have highlighted the benefit of conservative treatment. We report the case of a young man aged 32 who presented with a spontaneous rupture of the spleen during a primary infection with the Epstein-Barr virus (EBV), well controlled by embolization of the splenic artery under local anesthesia. Thus, avoiding emergency splenectomy.

show abstract

Nonsurgical management of complicated splenic rupture in infectious mononucleosis

Cited by 5 publications

References 3 publications

Spontaneous splenic rupture in infectious mononucleosis

Spontaneous splenic rupture in infectious mononucleosis

Contrast‐Enhanced Sonographically Guided Thermal Ablation for Treatment of Solid‐Organ Hemorrhage

Spontaneous rupture of the spleen: An unexpected cause and specific treatment

Contact Info

Product

Resources

About