Abstract
Background: Two cases are presented: A 16-year-old female (patient A), presented at the emergency department with a continuously stabbing abdominal pain in the upper left abdomen. Since 1 month, she suffered from a sore throat, fatigue and weight loss. Physical examination revealed a sick girl with clear consciousness and no paleness. Her heart rate was 100 beats per minute (bpm) and blood pressure was 110/60 mmHg. Blood analysis showed a decreased hemoglobin level of 5.3 mmol/L.
Highlights
Two cases are presented: A 16-year-old female, presented at the emergency department with a continuously stabbing abdominal pain in the upper left abdomen
Ultrasonography of the spleen in patient B (Fig. 2) The treatment of a spontaneous splenic rupture shows an enlarged spleen, without signs of splenic is still subject to discussion
The images plus the serological evidence of Epstein-Barr virus (EBV) infection led to the diagnosis of spontaneous splen ic rupture as a complication of infectious mono nucleosis
Summary
Work-up raised pressure, increases the risk of spleen rup‐ On ultrasonography of the spleen in patient A The exact etiology of spontaneous splenic rup‐ (Fig. 1, A: on admission), an inhomogeneous and ture due to EBV infection remains unclear. Several irregular enlarged spleen with an obvious rupture hypotheses are described: vascular congestion and free fluid surrounding the spleen is seen.
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