Evidence map›Paper›PMID 40575064›Full record

ArticleJournal of surgical case reports2025

Case report of a splenectomy secondary to infectious mononucleosis in a 16-year-old female.

George G Wilson, Kelly Rennie

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

George G WilsonCharleston Area Medical Center, Department of General Surgery, 3100 MacCorkle Avenue, Suite 700 Charleston, WV 25304, United States.
Kelly RennieCharleston Area Medical Center, Department of Trauma and Critical Care, 501 Morris St, Charleston, WV 2530, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spontaneous splenic rupture is a rare but life-threatening complication of infectious mononucleosis, occurring in 0.1%-0.5% of cases. We present a 16-year-old female with infectious mononucleosis who developed a spontaneous splenic rupture. Initially managed nonoperatively with distal splenic artery embolization for a grade 3 splenic injury, she later re-presented with worsening abdominal pain. A grade 4 splenic injury with persistent splenic artery flow required an open splenectomy. She was discharged on postoperative day five after drain removal and vaccinations. This case underscores the complexity of managing spontaneous splenic rupture. Although embolization is often effective, failure rates vary, particularly in atraumatic splenic injuries. Early post-embolization imaging and standardized coiling protocols may improve outcomes. Clinicians should remain vigilant for splenic rupture in adolescents with infectious mononucleosis presenting with acute abdominal pain. Further research is needed to assess embolization efficacy in atraumatic splenic injuries.

Indexed as

atraumatic splenic ruptureEpstein–Barr virusinfectious mononucleosis

Identifiers

PMID40575064
PMCPMC12201944

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.