PDF(Pubmed)
Abstract：
Spontaneous splenic rupture (SSR) is a relatively rare but potentially lethal complication of infectious mononucleosis (IM). While SSR is extremely rare in patients with proven IM, it is the most lethal complication of the infection (9% mortality rate) and can present completely asymptomatically or with abdominal pain and hemodynamic instability. As adolescents and young adults are the most affected population group, with this case report, we intend to raise the vigilance of any doctor treating those patients in the emergency department. We present the case of a 16-year-old patient with an atraumatic splenic rupture and hemoperitoneum secondary to an Epstein-Barr virus (EBV) infection. The patient underwent an exploratory laparotomy, and a splenectomy was performed. This case demonstrates that, even if SSR in patients with IM is extremely rare, it should always be considered in a patient with a relevant clinical presentation.
摘要：
自发性脾破裂（SSR）是传染性单核细胞增多症（IM）的相对罕见但可能致命的并发症。虽然SSR在确诊的IM患者中极为罕见，它是感染中最致命的并发症（9％的死亡率），可以完全无症状或伴有腹痛和血流动力学不稳定。由于青少年和年轻人是受影响最大的人群，有了这个病例报告,我们打算提高任何在急诊科治疗这些病人的医生的警惕性。我们介绍了一名16岁的患者，该患者继发于爱泼斯坦-巴尔病毒（EBV）感染，无创伤脾破裂和腹膜出血。病人做了剖腹探查术,做了脾切除术.这个案例表明,即使IM患者的SSR非常罕见，在具有相关临床表现的患者中，应始终考虑它。
