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Case Reports in Medicine
Volume 2012, Article ID 497820, 3 pages
http://dx.doi.org/10.1155/2012/497820
Case Report

Hemorrhagic Shock as a Sequela of Splenic Rupture in a Patient with Infectious Mononucleosis: Focus on the Potential Role of Salicylates

1Department of General Surgery, General Hospital of Larissa, Tsakalof 1, 41221, Larissa, Thessaly, Greece
2Department of Cardiovascular and Thoracic Surgery, University Hospital of Larissa, Mezourlo, 41334, Larissa, Thessaly, Greece
3Department of Vascular Surgery, Attiko University Hospital, Rimini 1, 12462, Chaedari, Athens, Greece
4Radiological Department, General Hospital of Larissa, Tsakalof 1, 41221, Larissa, Thessaly, Greece

Received 9 May 2011; Revised 7 November 2011; Accepted 7 November 2011

Academic Editor: William Hurd

Copyright © 2012 Konstantinos Bouliaris et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Despite the fact that the vast majority of splenic ruptures are traumatic, infectious mononucleosis has been incriminated as a major predisposing factor that affects the integrity of the spleen, thus causing atraumatic ruptures and life-threatening hemorrhages. Herein we present a case of a 23-year-old Caucasian male who underwent an emergency laparotomy for acute abdomen and hemorrhagic shock, caused by spontaneous splenic rupture secondary to infectious mononucleosis. The potential role of salicylates in the development of a hemorrhagic complication in a patient with infectious mononucleosis is discussed.