ATRAUMATIC SUBCAPSULAR SPLENIC HEMATOMA SECONDARY TO INFECTIOUS MONONUCLEOSIS: A CASE REPORT AND REVIEW OF THE LITERATURE

Abstract

Introduction: A subcapsular splenic hematoma caused by infectious mononucleosis due to Epstein-Barr virus infection is a rare complication, according to the literature. However, it should be recognized as a potential complication.
Case report: In this article, we describe a case report of a 25-year-old woman who had a typical clinical picture of infectious
mononucleosis with the development of a rare complication of subcapsular atraumatic splenic hematoma.
Conclusion: The development of this complication corresponds to previous literature data on the occurrence of hematoma within the first 3 weeks of the onset of infectious mononucleosis. Thanks to the interest of a nurse who was a friend of the patient, a diagnosis of a large subcapsular splenic hematoma was made in time and conservative therapy was recommended. Early diagnostics, on time, prevented more serious complications and avoided splenectomy, which is clinically relevant for the patient’s future.