Failure of conservative management of splenic rupture in a patient with mononucleosis.

Abstract:

:"Conservative" management of splenic rupture in patients with mononucleosis has not been adequately evaluated because of its infrequent occurrence. Splenic rupture can be lethal in this setting and is the most common cause of death from mononucleosis. We report a case of spontaneous splenic rupture in a young girl with mononucleosis. The initial management was nonoperative but because of recurrent pain and rebleeding, a splenectomy was later performed. We do not recommend observation of splenic rupture in patients with mononucleosis because of the danger of delayed hemorrhage.

journal_name

J Pediatr Surg

authors

McLean ER Jr,Diehl W,Edoga JK,Widmann WD

doi

10.1016/s0022-3468(87)80512-2

subject

Has Abstract

pub_date

1987-11-01 00:00:00

pages

1034-5

issue

11

eissn

0022-3468

issn

1531-5037

pii

S0022346887000629

journal_volume

22

pub_type

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