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  • Title: [Splenic rupture in infectious mononucleosis].
    Author: Basan B, Lafrenz M, Ziegler K, Klemm G.
    Journal: Z Arztl Fortbild (Jena); 1995 Dec; 89(7):725-8. PubMed ID: 8571629.
    Abstract:
    A 22 year old male with infectious mononucleosis, who stated a history of trauma to his left thoracic wall, developed an acute abdomen with symptoms of shock. A ruptured spleen was suspected. This working diagnosis, which was supported by ultrasound led to a splenectomy the initial diagnosis. The case report of this rare complication--due to the increased vulnerability of the spleen capsula in infectious mononucleosis--is highlighting the possible danger of splenic rupture. As of today, emergency splenectomy without any compromise ist still the safest state of the art therapy.
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