Document Detail


Nonoperative management of spontaneous splenic rupture in infectious mononucleosis: a case report and review of the literature.
MedLine Citation:
PMID:  17671047     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Spontaneous rupture of the spleen is a rare complication of infectious mononucleosis with no clear consensus on appropriate management. Although management of traumatic splenic rupture has largely moved to nonoperative treatment, splenectomy is still frequently used in dealing with rupture of the diseased spleen. Here we report the case of a 16-year-old boy with splenic rupture secondary to laboratory-confirmed infectious mononucleosis in the absence of trauma. Nonoperative management including ICU admission, serial computed tomography scans, and activity limitation was used successfully. Our experience, along with a review of the literature, leads us to conclude that splenic preservation can be a safe alternative to splenectomy in hemodynamically stable patients with spontaneous splenic rupture. This is of particular importance in the pediatric population, which is at higher risk for postsplenectomy sepsis.
Authors:
Jacob T Stephenson; Jeffrey J DuBois
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Pediatrics     Volume:  120     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-08-02     Completed Date:  2007-08-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e432-5     Citation Subset:  AIM; IM    
Affiliation:
General Surgery, David Grant Medical Center, 101 Bodin Circle, MSGS, Travis AFB, CA 94535, USA. jacob.stephenson@travis.af.mil
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Disease Management
Follow-Up Studies
Humans
Infectious Mononucleosis / complications,  radiography*,  therapy*
Male
Rupture, Spontaneous
Splenic Rupture / etiology,  radiography*,  therapy*

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