Infectious mononucleosis with splenic rupture

Submitted by : Mr Andrew Dubojski, Dr Laura Paul, Greater Glasgow and Clyde NHS Scotland

21 year old male patient presented for an abdominal ultrasound with general malaise, abdominal pain, deranged Liver functioning tests and Epstein-Barr Virus induced infectious mononucleosis with hepatosplenomegaly on clinical examination.

B Mode ultrasound findings confirmed hepatosplenomegaly along with a small volume of free fluid.

Figure 1

Figure 1 above Ultrasound confirms splenomegaly with a small volume of free fluid(arrow).

A heterogenous area with a small area of central fluid left subphrenic space surrounding/indistinct from the superior spleen was identified with no colour doppler flow. 

Figure 2

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