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Journal of General Surgery

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Case Report

Spontaneous Splenic Rupture in a Confirmed Case of Infectious Mononucleosis Requiring Emergency Laparotomy: A Case Report

Ismaili G, Devine M, Burke E, Conway E, Malik H and Awan F

Correspondence Address :

Ismaili G
Department of General Surgery
St. Luke's Hospital
Kilkenny
Ireland.

Received on: November 07, 2019, Accepted on: November 18, 2019, Published on: November 25, 2019

Citation: Ismaili G, Devine M, Burke E, Conway E, Malik H, Awan F (2019). Spontaneous splenic rupture in a confirmed case of infectious mononucleosis requiring emergency laparotomy: a case report

Copyright: 2019 Ismaili G, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Abstract
A sixteen-year-old boy presented to his local emergency department in south-east Ireland with general malaise, coryzal symptoms and abdominal pain. He was found to be tachycardic and to have a palpable spleen on examination. A diagnosis of infectious mononucleosis (IM) was made with a positive heterophile antibody screen. A Computed Tomography (CT) scan confirmed an enlarged spleen, with a large subcapsular haematoma and haemoperitoneum. He subsequently became peritonitic and required definitive surgical management involving laparotomy and splenectomy. After an uncomplicated post-operative recovery, he was discharged with vaccinations and prophylactic antibiotics as per postsplenectomy guidelines.
The objective of this article is to demonstrate the risk of splenic rupture following Epstein-Barr virus (EBV) infection and to highlight the importance of prompt diagnosis and appropriate management in these patients.

Keywords:
Splenomegaly, Infectious Mononucleosis, Splenectomy