Rupture of the spleen in a patient with a perforated duodenal ulcer and infectious mononucleosis

Rupture of the spleen in a patient with a perforated duodenal ulcer and infectious mononucleosis.

A 72-year-old patient presented as a sealed perforated duodenal ulcer. This was later confirmed at operation when in addition a haemoperitoneum due to a lacerated friable spleen was discovered. The patient denied antecedent injury. The peripheral blood film was normal but a subsequent differential slide test for infectious mononucleosis was positive. Histology of the spleen showed hyperplasia o...

Rupture of the spleen in infectious mononucleosis.

By MAJOR E. B. SMITH, M.C., AND LT. COL. R. P. CUSTER, MC. I NFECTIOUS mononucleosis is properly regarded as a benign disease. When death occurs it can be ascribed to a complication rather than to the disease itself. Pneumonia, edema of the glottis, and hemorrhage from a deep tonsillar ulceration were terminal conditions in a few cases of which we have personal knowledge. Rupture of the spleen ...

[Spontaneous rupture of the spleen in infectious mononucleosis].

Rupture of the spleen in infectious mononucleosis is a rare but potentially fatal complication. Once injured, the "pathologic" spleen may have limited reparative capabilities. In this situation, operative management seems to be the safer therapeutic approach.

Boxing injury: rupture of spleen in infectious mononucleosis.

Indomethacin and perforated duodenal ulcer.

of a preceding pregnancy had any effect on the outcome of the subsequent pregnancy. A first, second, or third pregnancy was taken as the index pregnancy and the outcome of the subsequent pregnancy examined. The distribution of social classes in the sample was: class I, 12 %; class II, 16 %; class III, 48 %; class IV, 13 %; class V, 4 %; and 7% of patients were of unknown social class. The table...