Confusion and abdominal symptoms following a rugby tackle

Demetris Ioannides, Madeleine Davies, Stefan Kluzek

Research output: Contribution to journalArticle

Abstract

A 19-year-old man was sent to the emergency department following a pitch-side assessment for suspected concussion, unexplained upper abdominal tenderness and vomiting, following a high-impact tackle during a rugby match. A Focussed Assessment with Sonography for Trauma (FAST) scan performed in the emergency department suggested intra-abdominal free fluid, and subsequent head and abdominal CT imaging showed no intracranial lesion but confirmed a significant haemoperitoneum due to large splenic tear and bleeding. An emergency splenectomy was performed, which confirmed the rupture of an enlarged spleen with blood loss of almost 2 L into the peritoneal cavity. The patient made a full recovery following surgery. A subsequent histological examination revealed granulomatous inflammation characteristic of infectious mononucleosis. This unique case illustrates that physically fit patients with early hypovolaemic shock can present with symptoms mimicking concussion.

Original languageEnglish
JournalBMJ Case Reports
Volume2017
DOIs
Publication statusPublished - 23 Sep 2017

Keywords

  • Journal Article

Fingerprint Dive into the research topics of 'Confusion and abdominal symptoms following a rugby tackle'. Together they form a unique fingerprint.

  • Cite this