Rupture In Infectious Mononucleosis Research Articles

Spontaneous spleen rupture in infectious mononucleosis – case report and return-to-play recommendations for paediatric patients

ENWEndNote BIBJabRef, Mendeley RISPapers, Reference Manager, RefWorks, Zotero AMA Wolski M, Piasecki M, Kamiński A. Spontaneous spleen rupture in infectious mononucleosis – case report and return-to-play recommendations for paediatric patients. Pediatria Polska - Polish Journal of Paediatrics. 2022;97(4):330-333. doi:10.5114/polp.2022.123234. APA Wolski, M., Piasecki, M., & Kamiński, A. (2022). Spontaneous spleen rupture in infectious mononucleosis – case report and return-to-play recommendations for paediatric patients. Pediatria Polska - Polish Journal of Paediatrics, 97(4), 330-333. https://doi.org/10.5114/polp.2022.123234 Chicago Wolski, Marek, Maciej Piasecki, and Andrzej Kamiński. 2022. "Spontaneous spleen rupture in infectious mononucleosis – case report and return-to-play recommendations for paediatric patients". Pediatria Polska - Polish Journal of Paediatrics 97 (4): 330-333. doi:10.5114/polp.2022.123234. Harvard Wolski, M., Piasecki, M., and Kamiński, A. (2022). Spontaneous spleen rupture in infectious mononucleosis – case report and return-to-play recommendations for paediatric patients. Pediatria Polska - Polish Journal of Paediatrics, 97(4), pp.330-333. https://doi.org/10.5114/polp.2022.123234 MLA Wolski, Marek et al. "Spontaneous spleen rupture in infectious mononucleosis – case report and return-to-play recommendations for paediatric patients." Pediatria Polska - Polish Journal of Paediatrics, vol. 97, no. 4, 2022, pp. 330-333. doi:10.5114/polp.2022.123234. Vancouver Wolski M, Piasecki M, Kamiński A. Spontaneous spleen rupture in infectious mononucleosis – case report and return-to-play recommendations for paediatric patients. Pediatria Polska - Polish Journal of Paediatrics. 2022;97(4):330-333. doi:10.5114/polp.2022.123234.

Spontaneous splenic rupture in infectious mononucleosis

Introduction. Spontaneous splenic rupture is a rare but potentially fatal complication of infectious mononucleosis (IM). It occurs in only 0.1?0.5% of cases of this disease. The aim of this paper was to present a case with spontaneous splenic rupture after IM. Case outline. A 22-year-old female patient was feeling better one month after she was treated for infectious mononucleosis, and started training volleyball. Two weeks after starting the training, she felt severe abdominal pain. The diagnosis of rupture was confirmed with computer tomography. Splenectomy was successfully performed. The postoperative course was uneventful and the patient recovered with no need for blood transfusion. Conclusion. Timely diagnosis and setting indications for surgical treatment are crucial in healing. Patients should wait to start with sport activities at least two months if the size of the spleen is within normal range.

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

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.

Non-surgical management of spontaneous splenic rupture in infectious mononucleosis

Spontaneous rupture of the spleen is a rare, but serious complication of infectious mononucleosis with no clear consensus on appropriate management. Although management of traumatic splenic rupture has largely moved to non-operative treatment, splenectomy is still frequently used in dealing with rupture of the diseased spleen. Here we report the case of a 27-year-old boy with splenic rupture secondary to laboratory-confirmed infectious mononucleosis in the absence of trauma. Our management included an endovascular treatment (embolization of the splenic artery), serial ultrasound scans, activity limitation, and a computed tomography low-dose scan before discharge. Our experience, along with a review of the literature, has led us to conclude that splenic preservation can be a safe alternative to splenectomy in hemodynamically stable patients with spontaneous splenic rupture. This is of particular importance in the young population, which is at higher risk for postsplenectomy sepsis.

Spontaneous splenic rupture in infectious mononucleosis

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.

Nonsurgical management of complicated splenic rupture in infectious mononucleosis

We report on a 35-year-old man who presented to the emergency department with acute abdominal pain, postural hypotension, and tachycardia after having been diagnosed with Epstein-Barr virus infection 1 week before. Abdominal ultrasound and computed tomography revealed splenic rupture, and the patient underwent successful proximal angiographic embolization of the splenic artery. The course was complicated by painful splenic necrosis and respiratory insufficiency due to bilateral pleural effusions. Six weeks later, he additionally developed severe sepsis with Propionibacterium granulosum due to an intrasplenic infected hematoma, which required drainage. All complications were treated without surgical splenectomy, and the patient finally made a full recovery.

Spontaneous Splenic Rupture in Infectious Mononucleosis

A 15-year-old previously healthy girl presented in full arrest after 1 week of flu-like symptoms, recent diagnosis of infectious mononucleosis, and 1 day of abdominal pain. There was no history of trauma. Focused assessment with sonography for trauma examination showed free fluid in the abdomen. The patient died despite aggressive resuscitative management and emergency laparotomy with splenectomy, which showed grade V splenic laceration. Infectious mononucleosis is a common viral illness of adolescence. Spontaneous splenic rupture is a rare but potentially fatal complication. Anticipatory guidance about the importance of seeking medical care if abdominal pain develops during infectious mononucleosis is crucial to early diagnosis and intervention in the case of rupture. We discuss the current literature surrounding the outpatient follow-up of splenomegaly associated with infectious mononucleosis, as well as current practice and treatment options when rupture occurs.

Nonoperative Management of Spontaneous Splenic Rupture in Infectious Mononucleosis: A Case Report and Review of the Literature

Spontaneous rupture of the spleen is a rare complication of infectious mononucleosis with no clear consensus on appropriate management. Although management of traumatic splenic rupture has largely moved to nonoperative treatment, splenectomy is still frequently used in dealing with rupture of the diseased spleen. Here we report the case of a 16-year-old boy with splenic rupture secondary to laboratory-confirmed infectious mononucleosis in the absence of trauma. Nonoperative management including ICU admission, serial computed tomography scans, and activity limitation was used successfully. Our experience, along with a review of the literature, leads us to conclude that splenic preservation can be a safe alternative to splenectomy in hemodynamically stable patients with spontaneous splenic rupture. This is of particular importance in the pediatric population, which is at higher risk for postsplenectomy sepsis.

Spontaneous Splenic Rupture in Infectious Mononucleosis

Abdominal complaints in patients with infectious mononucleosis should alert the surgeon to the potential, and possibly fatal, risk of splenic rupture. Radiologic evaluation by ultrasonography and computed tomography is indicated for appropriate management. We describe a case in which a diagnosis of splenic rupture occurring spontaneously on a background of infectious mononucleosis was made as a result of a high index of suspicion. The patient was treated conservatively.

Nonoperative Management of Spontaneous Splenic Rupture in Infectious Mononucleosis: The Role for Emerging Diagnostic and Treatment Modalities

Infectious mononucleosis (IM) is a self-limiting lymphoproliferative disorder affecting teenagers and young adults. Splenomegaly is a common manifestation of IM and results in a compromised organ that may rarely rupture spontaneously, with significant morbidity and mortality. The IM spleen should be protected from even minor trauma. Although traditional management of spontaneous splenic rupture in IM has been splenectomy, the role of nonoperative management is evolving. The advent of endovascular interventional modalities has augmented the physician's armamentarium in managing these patients nonoperatively. We report a case of spontaneous splenic rupture in a patient with IM managed conservatively with the aid of splenic angiography. The option of arteriography, with or without embolization, should be considered in the management of all patients with spontaneous splenic rupture in the setting of IM.

Infectious Mononucleosis Presenting as Spontaneous Splenic Rupture without Other Symptoms

Splenic rupture is an uncommon complication of infectious mononucleosis (IM), occurring in 0.1% to 0.5% of all patients. It remains the most common lethal complication of IM. Rupture of the spleen with no other symptoms of IM is almost unheard of. This is the report of a case of spontaneous splenic rupture requiring splenectomy in a patient with a positive heterophil antibody test and no other signs or symptoms of IM. The diagnosis and management of splenic rupture in IM are discussed.

Spontaneous splenic rupture in infectious mononucleosis

Spontaneous splenic rupture in infectious mononucleosis

Spontaneous splenic rupture in infectious mononucleosis

Spontaneous splenic rupture is a rare but life-threatening complication of infectious mononucleosis. Patients typically present with acute abdominal pain most marked in the left lower abdomen. Occasionally the pain is referred to the left shoulder and preceded by “flu-like” symptoms. Palor, orthostasis, and tachycardia can also be observed. Because abdominal pain and tachycardia are unusual in uncomplicated cases of infectious mononucleosis, the possibility of spontaneous splenic hematoma or rupture must be considered. The case presented here typifies the clinical manifestations of this entity and illustrates appropriate management.

Spontaneous splenic rupture in infectious mononucleosis: Sonographic diagnosis and follow-up: M. A. Johnson, P. L. Cooperberg, J. Boisvert, J. L. Stoller, and H. Winrob. Am J Roentgenol 136:111–114, (January), 1981

Spontaneous splenic rupture in infectious mononucleosis: Sonographic diagnosis and follow-up: M. A. Johnson, P. L. Cooperberg, J. Boisvert, J. L. Stoller, and H. Winrob. Am J Roentgenol 136:111–114, (January), 1981

Sudden and Unexpected Death Due to Splenic Rupture in Infectious Mononucleosis

Sudden and Unexpected Death Due to Splenic Rupture in Infectious Mononucleosis

Splenic Rupture in Infectious Mononucleosis

Splenic Rupture in Infectious Mononucleosis

Splenic Rupture in Infectious Mononucleosis

Splenic Rupture in Infectious Mononucleosis

Splenic Rupture in Infectious Mononucleosis

Splenic Rupture in Infectious Mononucleosis

Splenic Rupture in Infectious Mononucleosis

Splenic Rupture in Infectious Mononucleosis

Splenic Rupture in Infectious Mononucleosis

Splenic Rupture in Infectious Mononucleosis