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ruptured spleen
Etiology:
- most splenic ruptures are spontaneous
- blunt abdominal trauma
- puncture wound of the spleen
- risk factors:
- infectious mononucleosis usually within 1st 3 weeks of symptom onset
- splenomegaly
Clinical manifestations:
- abdominal pain
- left shoulder pain (Kehr sign)
- pericapsular pain
Radiology:
- abdominal ultrasound
- free fluid in abdomen &/or pelvis
Complications:
- hypovolemia (tachycardia & hypotension)
Management:
- conservative management without surgical intervention
- surgical splenectomy
Related
spleen
General
spleen injury
rupture
internal hemorrhage
References
- NEJM Knowledge+ Question of the Week. Dec 13, 2022
https://knowledgeplus.nejm.org/question-of-week/3001/
- Bartlett A et al.
Splenic rupture in infectious mononucleosis: a systematic review of
published case reports.
Injury 2016 Mar; 47:531.
PMID: 26563483