Spontaneous splenic rupture in infectious mononucleosis

Area of Science:

• Medicine
• Infectious Diseases
• Surgery

Background:

• Infectious mononucleosis, a common viral illness, can lead to rare but severe complications.
• Splenic rupture is a known, albeit infrequent, complication of infectious mononucleosis.

Observation:

• Three cases of infectious mononucleosis with spontaneous splenic rupture are presented.
• Abdominal computerized tomographic (CT) scans aided in preoperative diagnosis in two cases.
• All three patients underwent splenectomy for treatment.

Findings:

• Splenic rupture was confirmed in all presented cases of infectious mononucleosis.
• Splenectomy proved to be a curative intervention for spontaneous splenic rupture.
• Acute abdominal pain in infectious mononucleosis patients warrants consideration for splenic hemorrhage.

Implications:

• Early recognition of splenic rupture in infectious mononucleosis is crucial for timely intervention.
• CT scans are valuable diagnostic tools for identifying splenic complications.
• Surgical management via splenectomy is effective in treating this condition.