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

被引:0
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作者
M. Schwarz
L. Zaidenstein
E. Freud
M. Neuman
N. Ziv
L. Kornreich
M. Zer
机构
[1] Department of Pediatric Imaging,
[2] Schneider Children's Medical Center of Israel,undefined
[3] Petah Tiqva,undefined
[4] Israel.,undefined
[5] Department of Pediatric Surgery,undefined
[6] Schneider,undefined
[7] Children's Medical Center of Israel,undefined
[8] Petah Tiqva,undefined
[9] Israel,undefined
[10] Department of Invasive Radiology,undefined
[11] Rabin Medical Center,undefined
[12] Beilinson Campus,undefined
[13] Petah Tiqva,undefined
[14] and Sackler Faculty of Medicine,undefined
[15] Tel Aviv University,undefined
[16] Tel Aviv,undefined
[17] Israel,undefined
[18] Department of Pediatric Imaging,undefined
[19] Schneider Children's Medical Center of Israel,undefined
[20] Beilinson Campus,undefined
[21] Petah Tiqva 49202,undefined
[22] Israel,undefined
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关键词
Key words Spontaneous splenic rupture; Mononucleosis; Drainage;
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摘要
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.
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页码:139 / 140
页数:1
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