QuestionMy 6-year-old daughter was diagnosed with mono last week after her mono titer came back positive. The physician's assistant said that she couldn't feel the spleen but her liver was enlarged. All of her other bloodwork was fine, and the liver enlargement was attributed to the mono.
Today my daughter got off the bus and told me that she had been punched in the stomach on the bus. She's been holding her side while walking and saying that it's hurting. However, when she's playing she doesn't complain. About 2 hours ago she came to me and said that it hurt from her stomach (right below her rib cage, LUQ) up to her heart. Her stomach is tender, but not distended, not rigid, and she's not tachycardiac. She's now sleeping but I'm wondering if I should worry about splenic rupture. It's not debilitating pain but she's obviously hurting.
Answerpeople have to be punched pretty hard for a spleen rupture, even with mono.... she should get very sick, including bad abdominal pain, tachycardia.... if there was an organ injury. If none of that presents over the next couple days, she is OK..... and I expect that will be the case. It is hard to go by her description, since a punch has a lot more emotional pain along with the physical pain than a non-purposeful injury......
