Splenic rupture as a complication of an infectious mononucleosis

We present the case of a 16-year-old male who asked in an emergency department for sudden abdominal pain since many hours and loss consciousness. Few days before, he had odynophagia high fever. Leucocytosis with lymphocytosis predominance analysis splenic rupture hemoperitoneum echography computerized tomography was shown. The treatment consisted urgent surgery (splenectomy), which uneventful. Splenic is young patients, so it essential to do good anamnesis physical exploration avoid mistakes potentially fatal outcome.