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[SPONTANEOUS SPLEEN RUPTURE IN MONONUCLEOSIS INFECTIOUS DISEASE]

José Illescas T, Martín Tagle A, Enrique Castro P

    Revista De Gastroenterologia Del Peru : Organo Oficial De La Sociedad De Gastroenterologia Del Peru
    |July 26, 2002
    PubMed
    Summary

    Infectious Mononucleosis (IM) can cause severe abdominal complications, including hepatosplenomegaly and bleeding, necessitating emergency splenectomy. Prompt antibiotic treatment led to a favorable outcome in this case.

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    [PERCUTANEOUS ENCOSCOPIC GASTROSTOMY]

    Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru·2002

    Area of Science:

    • Internal Medicine
    • Gastroenterology
    • Infectious Diseases

    Background:

    • Abdominal pain and fever can indicate serious underlying conditions.
    • Hepatosplenomegaly and hemoperitoneum are critical findings requiring urgent evaluation.
    • Infectious Mononucleosis (IM) is typically a benign viral illness but can present with atypical complications.

    Purpose of the Study:

    • To report a rare case of severe abdominal complications secondary to Infectious Mononucleosis.
    • To highlight the diagnostic challenges and management of IM presenting with acute abdominal symptoms.
    • To emphasize the importance of considering IM in the differential diagnosis of febrile syndromes with abdominal pain.

    Main Methods:

    • Case report of a patient presenting with febrile syndrome and abdominal pain.

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  • Diagnostic imaging including abdominal ultrasound and Computerized Tomography (CT).
  • Surgical intervention (splenectomy) and histopathological examination of the spleen.

    • Main Results:

    • The patient presented with a 4-day history of fever and abdominal pain, with imaging revealing hepatosplenomegaly and hemoperitoneum.
    • Emergency splenectomy was performed, followed by the development of acute pancreatitis and a low-output fistula.
    • Histopathology confirmed Infectious Mononucleosis (IM), supported by serologic tests.

    Conclusions:

    • Infectious Mononucleosis can manifest with severe, life-threatening abdominal complications.
    • Early diagnosis and appropriate management, including surgical intervention and antibiotics, are crucial for favorable outcomes.
    • This case underscores the diverse clinical spectrum of IM and the need for a high index of suspicion in patients with unexplained abdominal symptoms.