Case report of a young female with early presentation of spontaneous splenic rupture in infectious mononucleosis

Autor: A. Petrou, A. Hadzipolycarpou, C. Parpounas, M. Loizou, Georgios Kourounis
Rok vydání: 2016
Předmět:
Zdroj: Hellenic Journal of Surgery. 88:380-382
ISSN: 1868-8845
0018-0092
DOI: 10.1007/s13126-016-0352-4
Popis: Spontaneous splenic rupture is a well known, yet very rare complication of infectious mononucleosis with an estimated incidence of 0.06% to 0.5%. It primarily affects teenagers and young adults and is the leading cause of death in infectious mononucleosis. There is a 9% mortality rate associated with spontaneous splenic ruptures; in all lethal cases a rupture occurs within the first 10 days of symptoms onset from infectious mononucleosis. The present case report concerns a young female, who presented with abdominal pain, vomiting and positive Kehr’s sign two days after the onset of infectious mononucleosis symptoms. The patient was diagnosed with a spontaneous splenic rupture due to infectious mononucleosis and was treated operatively by laparotomy and splenectomy. The patient was successfully treated, and had no post operative complications.
Databáze: OpenAIRE