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His already large spleen put him at risk. Ch it was already large and was not protected by the ribs, but its already more fragile because its swollen, then the chance of a spleen rupture increases. Reporter the medical examiner wont say why is spleen was enlar ed to begin with. Doctors say there is a variety of reasons. The most common in an otherwise healthy 17yearold would be mononucleosis, or mono. The issue is so important that every High School Football player must answer the question about whether he or she has had mono on the sports aorm. Its a combination of having enlarged disorder, having a larger spleen from that disorder and getting a bump on the head. Reporter the type of fatal injury murray suffered is in a survey of all High School Football players in the u. S. ,able u. S. , abdominal injuries dont account for the top ten of football injuries. He an ....