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Spontaneous splenic rupture in infectious mononucleosis
Seng Guan Khoo1, Ihsan Ullah, Kevin P Manning
1Department of Otolaryngology-Head and Neck Surgery, Mid-Western Regional Hospital and the National Institute of Health Sciences, Limerick, Ireland. sgkhoo@hotmail.com
Ear, Nose, & Throat Journal
|June 22, 2007
Summary
Abdominal pain in patients with infectious mononucleosis may signal splenic rupture, a serious complication. Early diagnosis via imaging and a high index of suspicion are crucial for conservative management.
Area of Science:
- Surgery
- Infectious Diseases
- Radiology
Background:
- Infectious mononucleosis, a common viral illness, can present with abdominal complaints.
- Splenic rupture is a rare but potentially fatal complication of infectious mononucleosis.
Observation:
- A case of spontaneous splenic rupture in a patient with infectious mononucleosis is presented.
- The patient experienced abdominal complaints necessitating urgent evaluation.
Findings:
- Radiologic imaging, including ultrasonography and computed tomography, is essential for diagnosing splenic rupture.
- A high index of suspicion led to the correct diagnosis in this case.
Implications:
- Prompt recognition and diagnosis of splenic rupture in infectious mononucleosis are critical for patient outcomes.
- Conservative management can be successful in select cases of splenic rupture associated with infectious mononucleosis.
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