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KMID : 1033220190090020069
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Journal of Acute Care Surgery
2019 Volume.9 No. 2 p.69 ~ p.71
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Nontraumatic Splenic Rupture due to Infectious Mononucleosis
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Frank Elliot A.
La Fleur James R.
Okosun Stanley
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Abstract
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A 19-year-old otherwise healthy male presented to the Emergency Department with left upper quadrant abdominal pain having felt a “pop” in his abdomen which was followed by nausea and lightheadedness. There was no evidence of trauma but 3 weeks earlier he began with symptoms of a sore throat and nasal congestion without cough. On subsequent investigation, given the patient’s acute abdominal pain, abnormal vitals and a non-diagnostic computed tomography scan, an emergent exploratory laparotomy was performed. There was 600 mL of blood evacuated from the abdomen. A 643-gram inflamed and ruptured spleen was identified and removed, and follow-up lab work was positive for heterophile antibody. This report describes spontaneous splenic rupture caused by infectious mononucleosis and compares characteristics of traumatic versus non-traumatic cases.
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KEYWORD
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Epstein-Barr virus, infectious mononucleosis, splenectomy, splenic rupture
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