| Nonoperative management of spontaneous splenic rupture in infectious mononucleosis: a case report and review of the literature. | |
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MedLine Citation:
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PMID: 17671047 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Jacob T Stephenson; Jeffrey J DuBois |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Pediatrics Volume: 120 ISSN: 1098-4275 ISO Abbreviation: Pediatrics Publication Date: 2007 Aug |
Date Detail:
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Created Date: 2007-08-02 Completed Date: 2007-08-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: United States |
Other Details:
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Languages: eng Pagination: e432-5 Citation Subset: AIM; IM |
Affiliation:
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General Surgery, David Grant Medical Center, 101 Bodin Circle, MSGS, Travis AFB, CA 94535, USA. jacob.stephenson@travis.af.mil |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Disease Management Follow-Up Studies Humans Infectious Mononucleosis / complications, radiography*, therapy* Male Rupture, Spontaneous Splenic Rupture / etiology, radiography*, therapy* |
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