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Infective splenic rupture presenting with symptoms of a pulmonary embolism
  1. M Shah1,
  2. S Muquit1,
  3. B Azam2
  1. 1
    Newham University Hospital, London, UK
  2. 2
    Southend Hospital, Sounthend, Essex, UK
  1. Mr M Shah, Newham University Hospital, London E13 8SL, UK; mushtaqshah{at}googlemail.com

Abstract

Splenic rupture following infectious mononucleosis is rare. The case history is presented of a man who presented with sudden onset pleuritic left chest pain. An ultrasound scan of the abdomen showed an enlarged spleen with an abnormal echo pattern and a CT scan of the abdomen showed severe splenic rupture. The patient remembered that he had been unwell 2 weeks earlier with flu-like symptoms and enlarged cervical lymph nodes. Serological examination was positive for Ebstein-Barr virus, confirming the diagnosis of splenic rupture following splenomegaly due to infectious mononucleosis. Management was initially conservative but he became haemodynamically unstable and an emergency splenectomy was performed.

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Footnotes

  • Competing interests: None.

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