Case report of a young female with early presentation of spontaneous splenic rupture in infectious mononucleosis

Kourounis, G. , Parpounas, C., Hadzipolycarpou, A., Loizou, M. and Petrou, A. (2016) Case report of a young female with early presentation of spontaneous splenic rupture in infectious mononucleosis. Hellenic Journal of Surgery, 88(5), pp. 380-382. (doi: 10.1007/s13126-016-0352-4)

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Abstract

Spontaneous splenic rupture is a well known, yet very rare complication of infectious mononucleosis with an estimated incidence of 0.06% to 0.5%. It primarily affects teenagers and young adults and is the leading cause of death in infectious mononucleosis. There is a 9% mortality rate associated with spontaneous splenic ruptures; in all lethal cases a rupture occurs within the first 10 days of symptoms onset from infectious mononucleosis. The present case report concerns a young female, who presented with abdominal pain, vomiting and positive Kehr’s sign two days after the onset of infectious mononucleosis symptoms. The patient was diagnosed with a spontaneous splenic rupture due to infectious mononucleosis and was treated operatively by laparotomy and splenectomy. The patient was successfully treated, and had no post operative complications.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Kourounis, Dr Georgios
Authors: Kourounis, G., Parpounas, C., Hadzipolycarpou, A., Loizou, M., and Petrou, A.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:Hellenic Journal of Surgery
Publisher:Springer
ISSN:0018-0092
ISSN (Online):1868-8845
Published Online:08 November 2016

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