Kountouri Ismini, Vitkos Evangelos N, Dimasis Periklis, Chandolias Miltiadis, Galani Manolakou Maria Martha, Gkiatas Nikolaos, Manolakaki Dimitra
Department of General Surgery, General Hospital of Katerini, 60100 Katerini, Greece.
Diagnostics (Basel). 2024 Jul 16;14(14):1536. doi: 10.3390/diagnostics14141536.
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.
自发性脾破裂（SSR）是传染性单核细胞增多症（IM）相对罕见但可能致命的并发症。虽然在确诊为IM的患者中SSR极为罕见，但它是该感染最致命的并发症（死亡率为9%），可完全无症状出现，或伴有腹痛和血流动力学不稳定。由于青少年和青年是受影响最严重的人群，通过本病例报告，我们旨在提高急诊科任何治疗这些患者的医生的警惕性。我们报告一例16岁患者，因感染爱泼斯坦-巴尔病毒（EBV）继发非创伤性脾破裂和腹腔积血。该患者接受了剖腹探查术，并进行了脾切除术。本病例表明，即使IM患者中的SSR极为罕见，但对于有相关临床表现的患者，始终应考虑到这种情况。
