Gulstad Mikkel Bak, Thomsen Henrik
Lindesnæsvej 1, 8200 Aarhus N.
Ugeskr Laeger. 2013 Oct 21;175(43):2565-6.
Non-traumatic rupture of the spleen (NRS) is a rare but serious complication to infectious mononucleosis (IM) and it is important to have in mind, when patients have IM. Although splenectomy has been advocated as the appropriate treatment for this problem, the trend goes towards conservative treatment of the haemodynamically stable patients, but because of its rarity no clear guidelines have been suggested. We present a case of a 18-year-old boy with IM who had NRS with subcapsular haematoma and was treated conservatively. He recovered completely.