{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T11:52:35Z","timestamp":1791373955216,"version":"4.3.1"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"11-12","license":[{"start":{"date-parts":[[2020,9,10]],"date-time":"2020-09-10T00:00:00Z","timestamp":1599696000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,12,30]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>We discuss a 23-year-old active duty male who presented to the emergency department with left shoulder pain after deadlifting heavy weights the day prior. His physical examination revealed a nontender and otherwise unremarkable left shoulder with full range of motion and mild tenderness to palpation in the left upper quadrant of the abdomen. A bedside focused assessment with sonography for trauma (FAST) examination showed free fluid in the abdomen and a computed tomography scan showed a splenic laceration and splenomegaly. He later tested positive for infectious mononucleosis. This is the first case report of atraumatic splenic laceration after heavy weight lifting. This case illustrates the importance of a broad differential and high index of suspicion in the patient with undifferentiated abdominal pain in order to diagnose a potentially fatal disease.<\/jats:p>","DOI":"10.1093\/milmed\/usaa239","type":"journal-article","created":{"date-parts":[[2020,9,10]],"date-time":"2020-09-10T12:16:05Z","timestamp":1599740165000},"page":"e2918-e2200","source":"Crossref","is-referenced-by-count":5,"title":["Atraumatic Splenic Rupture After Weight Lifting in a Patient Presenting With Left Shoulder Pain"],"prefix":"10.1093","volume":"185","author":[{"given":"Megan","family":"Halliday","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Naval Medical Center Portsmouth, Portsmouth, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jared","family":"Ingersoll","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Naval Medical Center San Diego, San Diego, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Alex","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Naval Medical Center Portsmouth, Portsmouth, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,12,30]]},"reference":[{"key":"2020123002501859100_R1","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2013-008851","article-title":"Spontaneous splenic rupture presenting as haemoperitoneum: coinfection of Plasmodium vivax and Plasmodium falciparum","volume":"2013","author":"Agarwal","year":"2013","journal-title":"BMJ Case Rep"},{"issue":"1","key":"2020123002501859100_R2","first-page":"437","article-title":"Atraumatic rupture of the spleen in adults","volume":"47","author":"Debnath","year":"2002","journal-title":"J R Coll Surg Edinb"},{"issue":"3","key":"2020123002501859100_R3","doi-asserted-by":"crossref","first-page":"190","DOI":"10.5811\/cpcem.2017.2.32847","article-title":"A near fatal sneeze spontaneous splenic rupture: a case report and review of the literature","volume":"1","author":"Reinhold","year":"2017","journal-title":"Clin Prac Cases Emerg Med"},{"key":"2020123002501859100_R4","doi-asserted-by":"crossref","first-page":"774","DOI":"10.12659\/AJCR.893919","article-title":"Epstein-Barr virus-associated atraumatic spleen laceration presenting with neck and shoulder pain","volume":"16","author":"Sergent","year":"2015","journal-title":"Am J Case Rep"},{"issue":"12","key":"2020123002501859100_R5","doi-asserted-by":"crossref","first-page":"1377","DOI":"10.1097\/PEC.0b013e318276c78a","article-title":"Spontaneous splenic rupture in infectious mononucleosis: case report and review of the literature","volume":"28","author":"Rinderknecht","year":"2012","journal-title":"Pediatr Emerg Care"},{"issue":"1","key":"2020123002501859100_R6","doi-asserted-by":"crossref","DOI":"10.1186\/1757-1626-1-35","article-title":"Spontaneous splenic rupture mimicking pneumonia: a case report","volume":"1","author":"MacKenzie","year":"2008","journal-title":"Cases J"},{"issue":"1","key":"2020123002501859100_R7","first-page":"6","article-title":"Snowball fight \u2013 an unusual cause of spleen injury","volume":"62","author":"Bu\u0161kov\u00e1","year":"2017","journal-title":"Soud Lek"},{"issue":"1","key":"2020123002501859100_R8","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1097\/PEC.0000000000000528","article-title":"At the beach to jump or not to jump?","volume":"32","author":"Briassoulis","year":"2016","journal-title":"Pediatr Emerg Care"}],"container-title":["Military Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/milmed\/article-pdf\/185\/11-12\/e2918\/35269431\/usaa239.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/milmed\/article-pdf\/185\/11-12\/e2918\/35269431\/usaa239.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,30]],"date-time":"2020-12-30T07:52:56Z","timestamp":1609314776000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/milmed\/article\/185\/11-12\/e2918\/5903657"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,1]]},"references-count":8,"journal-issue":{"issue":"11-12","published-online":{"date-parts":[[2020,12,30]]},"published-print":{"date-parts":[[2020,12,30]]}},"URL":"https:\/\/doi.org\/10.1093\/milmed\/usaa239","relation":{},"ISSN":["0026-4075","1930-613X"],"issn-type":[{"value":"0026-4075","type":"print"},{"value":"1930-613X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,11,1]]},"published":{"date-parts":[[2020,11,1]]}}}