| Abstrakt: |
Prior reports suggest that in infectious mononucleosis spontaneous splenic hemorrhage requires removal rather than preservation since the inflamed spleen is too soft and fragile to be safely retained. We describe a 17-year-old girl who had successful splenorrhaphy following complete rupture. Blood loss was 3 l. Salvage succeeded because of both pursestring absorbable mesh repair and argon beam coagulation. Her spleen, which was five times normal size, soft, friable, and of poor integrity, is now viable, normal in size, and perfused adequately. This case may be the first on record. |
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