Skip to main content

Advertisement

SpringerLink
Log in

Spontaneous splenic rupture in infectious mononucleosis: conservative management with gradual percutaneous drainage of a subcapsular hematoma

  • CASE REPORT
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

Abstract

Spontaneous splenic rupture (SSR) is a rare but potentially lethal complication of infectious mononucleosis (IM). Because the inflamed spleen is usually enlarged, congested, and friable, emergency splenectomy is recommended. We describe the conservative management of a SSR in a 16-year-old boy with IM. A pigtail catheter was inserted under ultrasonographic guidance and left in place for 36 h. This allowed the successful evacuation of the hematoma without compromising the splenic parenchyma.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Author information

Authors and Affiliations

  1. Department of Pediatric Imaging, Schneider Children's Medical Center of Israel, Petah Tiqva, Israel., , , , , , IL

    M. Schwarz, N. Ziv & L. Kornreich

  2. Department of Pediatric Surgery, Schneider, Children's Medical Center of Israel, Petah Tiqva, Israel, , , , , , IL

    L. Zaidenstein, E. Freud & M. Zer

  3. Department of Invasive Radiology, Rabin Medical Center, Beilinson Campus, Petah Tiqva, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel, , , , , , IL

    M. Neuman

Authors
  1. M. Schwarz
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. L. Zaidenstein
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. E. Freud
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. M. Neuman
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. N. Ziv
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. L. Kornreich
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. M. Zer
    View author publications

    You can also search for this author in PubMed Google Scholar

Additional information

Accepted: 8 April 1998

Rights and permissions

Reprints and permissions

About this article

Cite this article

Schwarz, M., Zaidenstein, L., Freud, E. et al. Spontaneous splenic rupture in infectious mononucleosis: conservative management with gradual percutaneous drainage of a subcapsular hematoma. Pediatr Surg Int 15, 139–140 (1999). https://doi.org/10.1007/s003830050537

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s003830050537

Search

Navigation