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Reminder of important clinical lesson
CASE REPORT
Teenage kicks: splenic rupture secondary following infectious mononucleosis
  1. Stephen Gilmartin,
  2. Stephen Hatton and
  3. John Ryan
  1. Emergency Department, St Vincent’s University Hospital, Dublin, Ireland
  1. Correspondence to Dr Stephen Gilmartin, gilmartinstephen{at}gmail.com

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.

  • trauma
  • infectious diseases
  • general surgery

https://doi.org/10.1136/bcr-2018-229030

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    Footnotes

    • Contributors All authors contributed to the development, design and write up of this manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Parental/guardian consent obtained.