Stockinger Zsolt T
Department of Surgery, United States Naval Hospital Okinawa, Japan.
Mil Med. 2003 Sep;168(9):722-4.
Splenic rupture is an uncommon complication of infectious mononucleosis (IM), occurring in 0.1% to 0.5% of all patients. It remains the most common lethal complication of IM. Rupture of the spleen with no other symptoms of IM is almost unheard of. This is the report of a case of spontaneous splenic rupture requiring splenectomy in a patient with a positive heterophil antibody test and no other signs or symptoms of IM. The diagnosis and management of splenic rupture in IM are discussed.
脾破裂是传染性单核细胞增多症（IM）的一种罕见并发症，在所有患者中的发生率为0.1%至0.5%。它仍然是IM最常见的致命并发症。脾脏破裂而无IM其他症状的情况几乎闻所未闻。本文报告一例嗜异性抗体试验阳性且无IM其他体征或症状的患者发生自发性脾破裂并需行脾切除术的病例。文中还讨论了IM中脾破裂的诊断和处理。
