Spontaneous splenic rupture in infectious mononucleosis: conservative management with gradual percutaneous drainage of a subcapsular hematoma.
Pediatr Surg Int
; 15(2): 139-40, 1999.
Article
em En
| MEDLINE
| ID: mdl-10079351
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.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Esplenopatias
/
Hematoma
/
Mononucleose Infecciosa
Tipo de estudo:
Etiology_studies
Limite:
Adolescent
/
Humans
/
Male
Idioma:
En
Revista:
Pediatr Surg Int
Ano de publicação:
1999
Tipo de documento:
Article