Spontane Milzruptur bei infektiöser Mononucleose —Organerhaltende Operation mittels Fibrinklebung (original) (raw)

Summary

We present the case of a 16-year-old female patient with infectious mononucleosis complicated by spontaneous splenic rupture on the eighth day of the disease. This event is seldom; only 38 cases of true spontaneous rupture of the spleen in infectious mononucleosis could be found when the literature was reviewed. The diagnosis of splenic rupture in our case was made by ultrasound, just as the further postoperative follow-up. For the first time the splenic lesion was successfully managed by application of fibrin tissue adhesive.

Zusammenfassung

Bei einer 16jährigen Patientin mit infektiöser Mononucleose trat am achten Krankheitstag eine spontane Milzruptur auf. Diese Komplikation ist selten; in der Literatur wurden bisher lediglich 38 Fälle gesicherter spontaner Milzrupturen bei infektiöser Mononucleose beschrieben. Diagnostik der Ruptur und die weitere Verlaufsbeobachtung erfolgten bei unserer Patientin sonographisch. Erstmals wurde bei diesem Krankheitsbild eine milzerhaltende Operation mittels Fibrinklebung der Rupturbereiche durchgeführt.

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Authors and Affiliations

  1. Städtische Kliniken Kassel, Medizinische Klinik 1, Mönchebergstraße 41–43, D-3500, Kassel
    W. Ormann & G. Hopf
  2. Klinik für Allgemeinchirurgie, Mönchebergstraße 41–43, D-3500, Kassel
    W. Ormann & G. Hopf

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  1. W. Ormann
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  2. G. Hopf
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Ormann, W., Hopf, G. Spontane Milzruptur bei infektiöser Mononucleose —Organerhaltende Operation mittels Fibrinklebung.Langenbecks Arch Chiv 373, 240–242 (1988). https://doi.org/10.1007/BF01261816

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