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Case Reports in Medicine
Volume 2013, Article ID 675372, 3 pages
http://dx.doi.org/10.1155/2013/675372
Case Report

Spontaneous Spleen Rupture in a Teenager: An Uncommon Cause of Acute Abdomen

Surgical Clinic, Naousa General Hospital, Afoi Lanara & Pexlivanou 3, 59200 Imathia, Greece

Received 24 January 2013; Revised 25 March 2013; Accepted 5 April 2013

Academic Editor: Yasuhiko Sugawara

Copyright © 2013 Verroiotou Maria 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

Spontaneous spleen rupture is a rare complication of infectious diseases and it can become a potentially life-threatening condition if not diagnosed in time. A 17-year-old Greek female presented to the ER due to acute abdominal pain, mainly of the left upper quadrant. She had no recent report of trauma. The patient was pale, her blood pressure was 90/70 mmHg, and her pulse was 120 b/min. Clinical examination of the abdomen revealed muscle contraction and resistance. The patient was submitted to an ultrasound of the upper abdomen and to a CT scanning of the abdomen that revealed an extended intraperitoneal hemorrhage due to spleen rupture. Due to the patient’s hemodynamic instability, she was taken to the operation room and splenectomy was performed. Following a series of laboratory examinations, the patient was diagnosed to be positive for current cytomegalovirus infection. The postoperative course was uneventful, and in a two year follow-up the patient is symptom-free. Spontaneous spleen rupture due to Cytomegalovirus infection is a rare clinical entity, described in few case reports in the world literature and should always be taken into consideration in differential diagnosis of acute abdomen, especially in adolescents with no recent report of trauma.