Spontaneous splenic rupture in infectious mononucleosis

Odalovic, Bozidar; Jovanović, Milan; Stolić, Radojica; Belic, Branislav; Nikolić, Simon; Mandic, Predrag

doi:10.2298/sarh160629207o

Cited by 3 publications

(1 citation statement)

References 9 publications

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“…The most significant finding associated with IM is hepatosplenomegaly [8]. A SSR complicating IM is a rare complication, occurring in 0.1-0.5 percent of patients with proven IM [10]. During the EBV infection the mononuclear cells collect within the lymphoid tissue causing the enlargement of the spleen [5].…”

Section: Preprintsmentioning

confidence: 99%

Spontaneous Splenic Rupture Secondary to Infectious Mononucleosis

Kountouri,

Vitkos,

Dimasis

et al. 2024

Preprint

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Spontaneous splenic rupture (SSR) is a relatively rare, but potentially lethal complication of infectious mononucleosis (IM). While SSR is extremely rare in patients with proven IM, it is the most lethal complication of the infection (9% mortality rate) and can present completely asymptomatically or with abdominal pain and hemodynamic instability. As adolescents and young adults are the most affected population group, with this case report we intend to raise the vigilance of any doctor treating those patients in the emergency department. We present the case of a 16-year-old patient with an atraumatic splenic rupture and hemoperitoneum secondary to an Epstein-Barr virus (EBV) infection. The patient underwent an exploratory laparotomy, and a splenectomy was performed. This case demonstrates that even if the SSR in patients with IM is extremely rare, it should be always considered in a patient with relevant clinical presentation.

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Section: Preprintsmentioning

confidence: 99%

Spontaneous Splenic Rupture Secondary to Infectious Mononucleosis

Kountouri,

Vitkos,

Dimasis

et al. 2024

Preprint

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Spleen Non-traumatic Acute Surgical Conditions

Ceresoli

Degrate

2023

Textbook of Emergency General Surgery

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Spontaneous Splenic Rupture Secondary to Infectious Mononucleosis

Kountouri,

Vitkos,

Dimasis

et al. 2024

Diagnostics

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Spontaneous splenic rupture (SSR) is a relatively rare but potentially lethal complication of infectious mononucleosis (IM). While SSR is extremely rare in patients with proven IM, it is the most lethal complication of the infection (9% mortality rate) and can present completely asymptomatically or with abdominal pain and hemodynamic instability. As adolescents and young adults are the most affected population group, with this case report, we intend to raise the vigilance of any doctor treating those patients in the emergency department. We present the case of a 16-year-old patient with an atraumatic splenic rupture and hemoperitoneum secondary to an Epstein–Barr virus (EBV) infection. The patient underwent an exploratory laparotomy, and a splenectomy was performed. This case demonstrates that, even if SSR in patients with IM is extremely rare, it should always be considered in a patient with a relevant clinical presentation.

show abstract

Spontaneous splenic rupture in infectious mononucleosis

Cited by 3 publications

References 9 publications

Spontaneous Splenic Rupture Secondary to Infectious Mononucleosis

Spontaneous Splenic Rupture Secondary to Infectious Mononucleosis

Spleen Non-traumatic Acute Surgical Conditions

Spontaneous Splenic Rupture Secondary to Infectious Mononucleosis

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