Abstract
Introduction. Spontaneous splenic hematoma or splenic rupture due to CMV infection in immunocompetent adults is rare and life-threatening. Case Report. Herein we report a rare case of spontaneous splenic hematoma and hemoperitoneum due to CMV infection in a 23-year-old Caucasian male in whom conservative management was successful. Conclusion. Spontaneous splenic hematoma and spontaneous splenic rupture are extremely rare conditions during primary CMV infection. Though rare, they must be always considered by the operating surgeon, because any misinterpretation may result in unfavorable outcomes.
Highlights
Spontaneous splenic hematoma or splenic rupture due to CMV infection in immunocompetent adults is rare and life-threatening
Splenectomy is the appropriate treatment for hemodynamically unstable patients, it seems that nonoperative management in selected patients is nowadays considered the gold standard of care [5, 6]
The diagnosis of primary CMV infection was made with positive IgM anti-CMV antibodies
Summary
Human cytomegalovirus is a member of the herpes family of viruses and undergoes latency after primary infection [1, 2]. The primary infection is diagnosed by a strongly positive CMV IgM antibody test result or CMV IgG seroconversion. Spontaneous splenic rupture or subcapsular splenic hematoma is really an uncommon condition in primary CMV infection [3]. The management of these complications has been a matter of debate during the last years [4]. Splenectomy is the appropriate treatment for hemodynamically unstable patients, it seems that nonoperative management in selected patients is nowadays considered the gold standard of care [5, 6]
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