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Conservative management of splenic injury in infectious mononucleosis
1Division of General Surgery, University of Calgary, Alberta, Canada.
Abstract:
Splenic rupture, in association with mononucleosis, can be lethal. Most reported cases of splenic rupture in patients with mononucleosis have not responded to conservative splenic preserving measures and have resulted in splenectomy. We report a case of traumatic splenic disruption in a patient with mononucleosis in whom conservative management was successful. We recommend consideration of splenic preservation measures in patients with mononucleosis and splenic disruption, if the patient is stable and meets other criteria of conservative management.
Insights
Splenic rupture associated with mononucleosis is dangerous. However, this case demonstrates successful conservative management of traumatic splenic disruption in a mononucleosis patient, challenging the usual need for splenectomy.
Area of Science:
- Medicine
- Hematology
- Trauma Surgery
Background:
- Splenic rupture is a life-threatening complication of infectious mononucleosis.
- Most cases necessitate splenectomy due to failure of conservative measures.
- Traumatic splenic disruption in mononucleosis presents a significant clinical challenge.
Observation:
- A case of traumatic splenic disruption occurred in a patient with mononucleosis.
- The patient was hemodynamically stable.
Findings:
- Conservative splenic preservation measures were successfully employed.
- This approach avoided the need for splenectomy.
Implications:
- Conservative management should be considered for stable mononucleosis patients with splenic disruption.
- This may offer a viable alternative to splenectomy, preserving splenic function.