PDF(Pubmed)
Abstract：
Atraumatic or spontaneous splenic rupture is a rare but life-threatening complication of infectious mononucleosis. We present a case of a 26-year-old man presenting with a 1-week history of sharp epigastric and right upper quadrant pain, associated with malaise and subjective fever. Although initial findings were concerning for acute cholangitis, abdominal computed tomography angiography scan revealed splenic rupture. Further exploration confirmed acute Epstein-Barr virus infection. Infectious mononucleosis must be considered in young patients with lymphocytosis, splenomegaly, and prolonged malaise. Awareness of this presentation will allow for timely diagnosis and treatment, thereby preventing potentially fatal complications of infectious mononucleosis such as splenic rupture.
摘要：
非创伤性或自发性脾破裂是传染性单核细胞增多症的一种罕见但危及生命的并发症。我们介绍了一例26岁的男子，他有1周的上腹部和右上腹疼痛史，与不适和主观发烧有关。尽管最初的发现与急性胆管炎有关，腹部计算机断层扫描血管造影扫描显示脾破裂。进一步探索证实急性EB病毒感染。在年轻的淋巴细胞增多症患者中必须考虑传染性单核细胞增多症，脾肿大,和长期的不适。认识到这一演讲将有助于及时诊断和治疗，从而预防传染性单核细胞增多症的潜在致命并发症，如脾破裂。
