Spontaneous rupture of the spleen in infectious mononucleosis

Abstract

A case of spontaneous rupture of the spleen in a patient with infectious mononucleosis, an infrequent complication, was recognized in the emergency department from the history and physical findings suggestive of intraperitoneal bleeding. Early surgical intervention was primarily responsible for the uneventful recovery of the patient. Rapidly developing congestion combined with weakening of the vessel walls by numerous cellular infiltrates may initiate the rupture. © 1977 American College of Emergency Physicians.