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  • Title: [Conservative management of spontaneous splenic rupture as a complication of infectious mononucleosis: two case reports and literature review].
    Author: Steiner-Linder A, Ballmer PE, Haller A.
    Journal: Schweiz Med Wochenschr; 2000 Nov 04; 130(44):1695-8. PubMed ID: 11103444.
    Abstract:
    We report on conservative management of 2 patients with spontaneous splenic rupture associated with infectious mononucleosis. Both patients had an unremarkable hospital course and were discharged within 7 days of admission. Resolution of the haematoma was followed by ultrasound monitoring during the hospital stay. A literature review to 1999 shows that approximately 45 patients with serologically proven infectious mononucleosis have suffered spontaneous rupture of the spleen. Spontaneous splenic rupture is a rare but potentially fatal complication of infectious mononucleosis. Although splenectomy has been advocated in the past as the definitive therapy, we recommend that non-surgical management be considered in haemodynamically stable patients, to avoid the complications of splenectomy (e.g. post-splenectomy sepsis).
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