Naslov
Splenic Hematoma as a First Manifestation of Cytomegalovirus Infection

Autori
Brnčić, Nada ; Mijandrušić Sinčić, Brankica ; Perić, Relja ; Milić, Sandra ; Gorup, Lari ; Mazur Grbac, Marzena

Izvornik
Collegium antropologicum (0350-6134) 34 (2010), S2; 267-269

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, stručni

Ključne riječi
splenic hematoma; cytomegalovirus infection; abdominal pain; nonoperative management

Sažetak
Splenic rupture is rare but life threatening complication of mononucleosis syndrome. It has been suggested that subcapsular splenic hematoma formation precedes rupture. The case of 44-year-old, previously healthy, male with splenic hematoma occurring after rising of heavy cargo is reported. Mononucleosis syndrome was suggested based on routine laboratory tests (elevated white blood cell count with predominance of lymphocytes and raised serum transaminases) and CMV infection was confirmed by serological test. Nonoperative management was used since the patient was hemodynamically stable with no further signs of splenic rupture. The same approach has been used in growing number of cases of patients with spontaneous splenic rupture in mononucleosis syndrome. Importance of considering splenic hematoma and/or rupture if abdominal pain occurs in the course of mononucleosis syndrome is outlined as well as importance of routine laboratory tests in suspecting mononucleosis syndrome in otherwise clinically silent patient.

Izvorni jezik
Engleski

POVEZANOST RADA