{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T10:47:37Z","timestamp":1789123657716,"version":"build-2803163510"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T00:00:00Z","timestamp":1750896000000},"content-version":"vor","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Spontaneous splenic rupture is a rare but life-threatening complication of infectious mononucleosis, occurring in 0.1%\u20130.5% 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.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf420","type":"journal-article","created":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T21:47:39Z","timestamp":1750974459000},"source":"Crossref","is-referenced-by-count":2,"title":["Case report of a splenectomy secondary to infectious mononucleosis in a 16-year-old female"],"prefix":"10.1093","volume":"2025","author":[{"given":"George G","family":"Wilson","sequence":"first","affiliation":[{"name":"Charleston Area Medical Center, Department of General Surgery , 3100 MacCorkle Avenue, Suite 700 Charleston, WV 25304 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Rennie","sequence":"additional","affiliation":[{"name":"Charleston Area Medical Center, Department of Trauma and Critical Care , 501 Morris St, Charleston, WV 2530 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,6,26]]},"reference":[{"key":"2025062617472980600_ref1","doi-asserted-by":"publisher","first-page":"305","DOI":"10.2174\/1573396320666230801091558","article-title":"Infectious mononucleosis: an updated review","volume":"20","author":"Leung","year":"2024","journal-title":"Curr Pediatr Rev"},{"key":"2025062617472980600_ref2","doi-asserted-by":"publisher","first-page":"531","DOI":"10.1016\/j.injury.2015.10.071","article-title":"Splenic rupture in infectious mononucleosis: a systematic review of published case reports","volume":"47","author":"Bartlett","year":"2016","journal-title":"Injury"},{"key":"2025062617472980600_ref3","doi-asserted-by":"publisher","first-page":"252","DOI":"10.20408\/jti.2024.0056","article-title":"Splenic artery embolization for trauma: a narrative review","volume":"37","author":"Roh","year":"2024","journal-title":"J Trauma Inj"},{"key":"2025062617472980600_ref4","doi-asserted-by":"publisher","first-page":"1114","DOI":"10.1002\/bjs.6737","article-title":"Systematic review of atraumatic splenic rupture","volume":"96","author":"Renzulli","year":"2009","journal-title":"Br J Surg"},{"key":"2025062617472980600_ref5","doi-asserted-by":"publisher","first-page":"1","DOI":"10.12968\/hmed.2024.0494","article-title":"A rare complication of atraumatic splenic rupture in infectious mononucleosis: a case report","volume":"85","author":"Gavriilidis","year":"2024","journal-title":"Br J Hosp Med (Lond)"},{"key":"2025062617472980600_ref6","doi-asserted-by":"publisher","first-page":"e01441","DOI":"10.14309\/crj.0000000000001441","article-title":"A real gut punch: an unexpected diagnosis of spontaneous splenic rupture","volume":"11","author":"Darnell","year":"2024","journal-title":"ACG Case Rep J"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/6\/rjaf420\/63593372\/rjaf420.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/6\/rjaf420\/63593372\/rjaf420.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T21:47:39Z","timestamp":1750974459000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf420\/8175205"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,31]]},"references-count":6,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,5,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf420","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,6]]},"published":{"date-parts":[[2025,5,31]]},"article-number":"rjaf420"}}