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  • Title: Spontaneous splenic haematoma in a teenager with infectious mononucleosis.
    Author: Halkic N, Jayet C, Pezzetta E, Mosimann F.
    Journal: Chir Ital; 2003; 55(6):929-30. PubMed ID: 14725238.
    Abstract:
    Spontaneous subcapsular splenic hematoma formation without rupture in infectious mononucleosis is a very unusual occurrence. Splenic rupture in infectious mononucleosis (Pfeiffer disease, or glandular fever) is a rare but life-threatening complication. A conservative management is successful in those patients in stable condition. We describe the presentation and the clinical progress of a case in whom a sudden enlargement in hematoma's diameter needed a splenectomy to avoid the risk of blood effusion in the abdominal cavity. The contribution of the sonographic examination and follow-up in the diagnosis of infectious mononucleosis is emphasised.
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