Professional paper

Spontaneous splenic rupture in infectious mononucleosis: report of three cases

Ivo Milas ; Klinički bolnički centar Split, Odjel za infekcijske bolesti
Boris Lukšić ; Klinički bolnički centar Split, Odjel za infekcijske bolesti
Suzana Mladinov ; Klinički bolnički centar Split, Klinika za unutarnje bolesti
Robert Glavinić ; Klinički bolnički centar Split, Klinika za dječje bolesti
Renata Beljan ; Klinički bolnički centar Split, Institut za patologiju, forenzičku medicinu i citologiju
Samira Knežević ; Opća bolnica Dubrovnik, Infektološki odjel

Abstract

We present three patients with spontaneous rupture of the spleen in infectious mononucleosis successfully treated with splenectomy. The occurrence of pain in the abdomen, together with a decline in the
value of hemoglobin and hemodynamic instability in patients with clinical picture of infectious mononucleosis, aroused the suspicion of spleen rupture, which was confirmed by ultrasonography and/or
computed tomography of the abdomen. Because of hemodynamic instability they underwent splenectomy as a treatment of choice. The literature describes many examples of successful conservative treatment of spontaneous splenic rupture in hemodynamically stable patients with subcapsular hematoma without capsule rupture.

Keywords

infectious mononucleosis; splenic rupture

Hrčak ID:

65093

URI

https://hrcak.srce.hr/65093

Publication date:

1.3.2011.

Article data in other languages: croatian

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