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Successful Conservative Treatment of Spontaneous Splenic Rupture in a 14 Year-Old Female with Infectious Mononucleosis (Abstract)

Enrica Rossi¹, Cosimo Bleve¹, Marco Libanore², Andrea Franchella¹

¹Operative Unit of Pediatric Surgery, ²Operative Unit of Infectious Diseases
Arcispedale S. Anna, Ferrara, Italy



Spontaneous splenic rupture is an uncommon complication of infectious mononucleosis (IM) caused by rapid splenic enlargement due to lymphocytic infiltration of the capsule and vascular walls. The incidence of splenic rupture in patients with proven infectious mononucleosis (IM) is about 0.6-0.7%. As it is a potentially lethal complication, many surgeons favour total splenectomy to non-operative therapy as a mean of treatment in both adult and pediatric populations. We report a case of spontaneous splenic rupture in a 14-year-old female IM patient who recovered completely following conservative treatment and seriated hemodynamic and ultrasonographic monitoring.

Key words: infectious mononucleosis; spontaneous splenic rupture


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