Splenorrhaphy in a patient with splenomegaly

Splenomegaly was found in a 17-year-old boy who experienced a traumatic splenic rupture. A successful splenorrhaphy was performed, although the cause of the splenomegaly was not known at the time of surgery. Postoperatively the diagnosis of infectious mononucleosis was established. Splenomegaly should not be considered an absolute contraindication to splenic repair in cases of traumatic rupture.