Patients with splenomegaly caused by mononucleosis should avoid which type of activity?

In cases of splenomegaly due to mononucleosis, the primary concern is the risk of splenic rupture, which can occur due to trauma to the abdomen. The spleen is located in the left upper quadrant of the abdomen and is more vulnerable when it is enlarged. Activities that involve significant physical contact or potential for falling or blunt trauma to the abdomen can exacerbate this condition, leading to serious complications.

Therefore, it is critical for patients experiencing splenomegaly to avoid any contact sports or high-risk activities that could result in direct abdominal injury. This includes sports like football, rugby, and wrestling, where collisions are common. By refraining from these activities, patients significantly reduce their risk of sustaining an injury to an already compromised spleen.

While swimming and team sports may be safer alternatives, they do not necessarily come with the same level of risk regarding splenic injury compared to contact sports. Cooking is a low-risk, non-physical activity that does not pose any threat to the spleen and thus is acceptable for patients with this condition.