1. [Splenic rupture in infectious mononucleosis].
- Author
-
Basan B, Lafrenz M, Ziegler K, and Klemm G
- Subjects
- Abdomen, Acute etiology, Abdomen, Acute therapy, Adult, Diagnosis, Differential, Humans, Infectious Mononucleosis therapy, Male, Splenectomy, Splenic Rupture therapy, Thoracic Injuries complications, Thoracic Injuries therapy, Wounds, Nonpenetrating complications, Wounds, Nonpenetrating therapy, Emergencies, Infectious Mononucleosis complications, Splenic Rupture etiology
- Abstract
A 22 year old male with infectious mononucleosis, who stated a history of trauma to his left thoracic wall, developed an acute abdomen with symptoms of shock. A ruptured spleen was suspected. This working diagnosis, which was supported by ultrasound led to a splenectomy the initial diagnosis. The case report of this rare complication--due to the increased vulnerability of the spleen capsula in infectious mononucleosis--is highlighting the possible danger of splenic rupture. As of today, emergency splenectomy without any compromise ist still the safest state of the art therapy.
- Published
- 1995