Non-operative management in a case of spontaneous splenic rupture in infectious mononucleosis.

Abstract:

:Spontaneous splenic rupture as a complication of infectious mononucleosis was diagnosed in a 19-year-old woman. Sonographic and MRI investigations revealed subcapsular hematoma of the spleen without overt rupture. The patient was managed conservatively. Somatostatin treatment was initiated in order to reduce splanchnic blood flow. Further clinical course of the patient was favourable. Seven days after the diagnosis of splenic rupture the patient was discharged from hospital. Non-operative management should be considered in patients with subcapsular splenic rupture to avoid complications of splenectomy (e.g. post-splenectomy sepsis).

journal_name

Z Gastroenterol

authors

Paar WD,Look MP,Robertz Vaupel GM,Kreft B,Hirner A,Sauerbruch T

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

13-4

issue

1

eissn

0044-2771

issn

1439-7803

journal_volume

33

pub_type

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