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S. Barry Sakulsky, MD; Robert B. Wallace, MD; Murray N. Silverstein, MD; Malcolm B. Dockerty, MD

AMA Arch Surg. 1967;94(3):349-352.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

ALTHOUGH spontaneous rupture of the spleen in infectious mononucleosis is a relatively rare complication, it is the most common cause of death in these patients. In reviewing 44 cases of spontaneous rupture of the spleen, Smith and Custer¹ found that infectious mononucleosis was second only to malaria as the cause of rupture.

The first well-documented case of infectious mononucleosis complicated by splenic rupture was reported by King² in 1941. In 1962, York³ reviewed 45 previously reported cases and added a case from his own experience. Since then, there have been a number of reports,^4-8 and recently a case of ruptured spleen secondary to infectious mononucleosis was encountered at the Mayo Clinic. This was the first in spite of the large number of cases of infectious mononucleosis that have been seen at this institution.

Report of Case

A 17-year-old white girl was admitted to the hospital on . . . [Full Text PDF of this Article]

Author Affiliations
Rochester, Minn

From the sections of surgery (Dr. Wallace), medicine (Dr. Silverstein), and surgical pathology (Dr. Dockerty), Mayo Clinic and Mayo Foundation, and the Mayo Graduate School of Medicine (University of Minnesota; Dr. Sakulsky), Rochester.

Footnotes
Submitted for publication Nov 14, 1966.

Reprint requests to 200 First St SW, Rochester, Minn 55901.

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