Abstract
Acute appendicitis is a rare complication of infectious mononucleosis (IM). We describe
a patient with IM and splenic rupture with a computerized tomography (CT) diagnosis
of acute appendicitis during the acute phase of the infectious disease. Diagnostic
imaging features of acute appendicitis were found on an abdominal CT performed for
the evaluation of postoperative fever. Histologic examination confirmed the CT diagnosis
of the clinically unsuspected acute appendicitis. Our case is unique both for the
rarity of this complication and the lack of clinical symptoms.
Keywords
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References
- Effect of computed tomography of the appendix on treatment of patients and use of hospital resources.N Engl J Med. 1998; 338: 141-146
- CT and sonographic evaluation of acute right lower quadrant abdomen pain.AJR, Am J Roentgenol. 1998; 170: 361-371
- Suspected acute appendicitis: nonenhanced helical CT in 300 consecutive patients.Radiology. 1999; 213: 341-346
- Acute appendicitis complicating infectious mononucleosis: case report and review.Rev Infect Dis. 1990; 12: 297-302
- Acute primary Epstein–Barr virus infection presenting as acute abdomen.Pediatr Infect Dis J. 1991; 10: 471-473
- Acute appendicitis and infectious mononucleosis.Br Med J. 1985; 291: 140-141
- Epstein–Barr virus infection, including infectious mononucleosis.in: Fauci AS Braunwald E Isselbacher KJ Wilson JD Martin JB Kasper Dl Hauser SL Longo DL Harrison's principles of internal medicine. 14th ed. McGraw-Hill, New York1998: 1089-1091
- Spontaneous splenic rupture in infectious mononucleosis: a review.Yale J Biol Med. 1997; 70: 175-182
- Gallbladder wall thickening in children with infectious mononucleotides.J Clin Ultrasound. 1999; 22: 576-578
- Sensitivity and specificity of the individual CT signs of appendicitis: experience with 200 helical appendiceal CT examinations.J Comput-Assisted Tomogr. 1997; 21: 686-692
- Pseudoappendicitis preceding infectious mononucleosis.Pediatr Emerg Care. 1998; 14: 345-346
Article info
Publication history
Received:
January 15,
2001
Identification
Copyright
© 2001 Elsevier Science Inc. Published by Elsevier Inc. All rights reserved.
