Professional paper
Splenic Hematoma as a First Manifestation of Cytomegalovirus Infection
Nada Brnčić
; Department of Infectious Diseases, University Hospital Center Rijeka, Rijeka, Croatia
Brankica Mijandrušić-Sinčić
; Division of Gastroenterology, Department of Internal Medicine, University Hospital Center Rijeka, Rijeka, Croatia
Relja Perić
; Division of Gastroenterology, Department of Internal Medicine, University Hospital Center Rijeka, Rijeka, Croatia
Sandra Milić
; Division of Gastroenterology, Department of Internal Medicine, University Hospital Center Rijeka, Rijeka, Croatia
Lari Gorup
; Department of Infectious Diseases, University Hospital Center Rijeka, Rijeka, Croatia
Marzena Mazur-Grbac
; Department of Radiology, Univerity Hospital Center Rijeka, Rijeka, Croatia
Abstract
Splenic rupture is rare but life threatening complication of mononucleosis syndrome. It has been suggested that subcapsular splenic hematoma formation precedes rupture. The case of 44-year-old, previously healthy, male with splenic hematoma occurring after rising of heavy cargo is reported. Mononucleosis syndrome was suggested based on routine laboratory tests (elevated white blood cell count with predominance of lymphocytes and raised serum transaminases) and CMV infection was confirmed by serological test. Nonoperative management was used since the patient was hemodynamically stable with no further signs of splenic rupture. The same approach has been used in growing number of cases of patients with spontaneous splenic rupture in mononucleosis syndrome. Importance of considering splenic hematoma and/or rupture if abdominal pain occurs in the course of mononucleosis syndrome is outlined as well as importance of routine laboratory tests in suspecting mononucleosis syndrome in otherwise clinically silent patient.
Keywords
splenic hematoma; cytomegalovirus infection; abdominal pain; nonoperative management
Hrčak ID:
51672
URI
Publication date:
20.4.2010.
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