Teenage kicks: splenic rupture secondary following infectious mononucleosis. Issue 5 (27th May 2019)

• Record Type: Journal Article
• Authors: Gilmartin, Stephen; Hatton, Stephen; Ryan, John
• Is Part Of: BMJ case reports. Volume 12:Issue 5(2019)
• Publication Date: 2019-05-27
• Subjects: trauma -- infectious diseases -- general surgery; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2018-229030
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A 16-year-old man was brought to the emergency department by his father with apparent alcohol intoxication. While in the department, it was noted that the patient had ongoing tachycardia, hypotension and abdominal pain. His recent medical history included a self-resolving illness of fatigue, muscle aches and sore throat. A CT scan of his abdomen revealed an enlarged spleen with a splenic infarct and rupture, likely secondary to infectious mononucleosis. The patient was treated conservatively for 12 days.