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Doctor insights on: Spleen Injury In Children

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Hit by a ball on left side. Do you think I have a spleen injury?

Hit by a ball on left side.  Do you think I have a spleen injury?

Probably not: Although I have seen one case of a ruptured spleen due to a thrown ball, it is very uncommon. Still, if you have persistent pain in the left upper abdomen near the rib cage, see your doctor. ...Read more

Dr. Bernard Seif
1 doctor shared a insight

Injuries (Definition)

An injury, of any severity, is a condition in which a person has damage to any part of his body. Examples of major injuries include gunshot wounds, knife wounds, large burns, severed ...Read more


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How to grade spleen injury?

How to grade spleen injury?

AIS: The system used is the AIS-Abbreviated Injury Score or scale. You can find it online. Basically there are 5 grades, based on the extent of injury seen on CT or in the OR. ...Read more

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How can we grade spleen injury?

How can we grade spleen injury?

AIS: There is well-defined system for grading all solid organ injuries, called the AIS (Abbreviated Injury Score). This is can be found online easily and the details are organ specific. Usually runs from Grade 1 to 5. An AIS exists for every body region. Originally, it was the appearance of the spleen at surgery, but now is based on CT findings. We rarely operate on injured spleens today. ...Read more

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What are the tests for spleen injury?

What are the tests for spleen injury?

See below: Ruptured or fractured spleen is usually from an accident, trauma, or injury. It can cause internal bleeding and left upper abdominal pain. Lab tests and likely a ct scan will make the diagnosis. Some lesser splenic injuries will heal on their own, and a major spleen injury would need surgery to remove the spleen. ...Read more

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What are the symptoms of a spleen injury?

What are the symptoms of a spleen injury?

Injury can be trivia: Or serious. If you haven't had surgery yet, you probably fall into former category. Left upper quadrant pain with radiation to shoulder tip, palpable mass or abdominal distention, and anemia symptoms such as lightheadedness are typical symptoms, but you need an imaging test to confirm. See a doctor if you have any symptoms. ...Read more

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Lacerated spleen injury. Do they have to remove it?

Lacerated spleen injury. Do they have to remove it?

Depends: Most splenic injuries are able to be managed non-operatively. Some injuries may require an operation. Sometimes it can be repaired, or part of it removed (very rare). Many times splenic embolization is done by an interventional radiologist, who threads a catheter into the arteries to deposit "coils" or "foam" that stops the blood flow to the damaged area of the spleen. ...Read more

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What are the symptoms associated with spleen injury?

What are the symptoms associated with spleen injury?

Bleeding and pain: Ruptured or fractured spleen is usually from an accident, trauma, or injury. It can cause internal bleeding and left upper abdominal pain. Lab tests and likely a ct scan will make the diagnosis. Some lesser splenic injuries will heal on their own, and a major spleen injury would need surgery to remove the spleen. ...Read more

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What is the definition or description of: Spleen injury?

What is the definition or description of: Spleen injury?

Spleen injury?: Trauma or damage to the spleen, which is an abdominal organ that produces and removes blood cells. ...Read more

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What is the treatment for spleen injury?

What is the treatment for spleen injury?

See below: Ruptured or fractured spleen is usually from an accident, trauma, or injury. It can cause internal bleeding and left upper abdominal pain. Lab tests and likely a ct scan will make the diagnosis. Some lesser splenic injuries will heal on their own, and a major spleen injury would need surgery to remove the spleen. ...Read more

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Is it ok to fly in a pressurized airplane cabin (3, 000 psi), 5 days after a level i — II spleen injury?

Is it ok to fly in a pressurized airplane cabin (3, 000 psi), 5 days after a level i — II spleen injury?

Not advised: Spleen injury could be lethal if right treatment is not rendered, in grade ii has up to 50 % of sub- capsular hematoma, up to 1 to 3 cm tare without inolving trabacular vessels need observation close to hospital, minimum 2 to 3 wks, repture is common in 2nd wk, answer is no after 5 days after injury if it is medivac plane with trauma surgeons on board, then yes. ...Read more

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Lacerated spleen injury. Should surgeon or trauma doctor answer our questions?

Yes: Your surgeon should answer your questions. Realize that they will have a very busy emergency schedule, so select one member of your family to ask the questions from your group & that selected person to relay the answers back to your group. Do not have multiple individuals from your group all call and each try to ask questions. ...Read more

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I may have a spleen injury. Do not want a CT scan. No symptoms other than pain. Can ultrasound diagnose the extent of the injury. Thank you?

I may have a spleen injury. Do not want a CT scan. No symptoms other than pain. Can ultrasound diagnose the extent of the injury. Thank you?

Not entirely: Generally a ct will evaluate not only the spleen, but the other organs (kidney, adrenal gland, ribs, lung base, pancreas, stomach/ bowel and adjacent retroperitoneum) in the left upper quadrant – the area where you seem to have your discomfort. An us can accurately evaluate the spleen, and the left kidney but may have limitations based on body habitus, rib shadowing, bowel gas – to fully evaluate. ...Read more

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What is the risk of playing football after a grade 3 spleen injury?

When?: When was the injury? How is the person' health currently? III Haematoma Subcapsular, >50% surface area or expanding. Ruptured subcapsular or parenchymal haematoma. Intraparencymal haematoma >5cm 3Laceration >3cm parenchymal depth or involving trabecular vessels. ...Read more

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Can adult Hirschsprungs, redundancy of transverse colon, cause accessory spleen from spleen injury caused by colon adhesion at the splenic flexure?

Can adult Hirschsprungs, redundancy of transverse colon, cause accessory spleen from spleen injury caused by colon adhesion at the splenic flexure?

Not quite, but....: An accessory spleen is something that one person in four is born with, or that can happen if the splenic capsule is torn and some pulp is released. If this happened at the time that an injury formed the colonic adjesion, this may be the explanation. Accessory spleens are little curiosities for the most part. Best wishes. ...Read more

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Is it safe to drink alcohol after recently having had surgery for a spleen injury sustained in a car accident?

In moderation: Keep it to no more than 1 drink per day. The spleen plays no part in metabolism of alcohol in the body. Thanks for trusting HealthTap! ...Read more

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I'm having spleen pain years after injury. What could be wrong?

I'm having spleen pain years after injury. What could be wrong?

Adhesion: It is possible that there are adhesions or fibrous bands which cause some discomfort years after an injury. Unless severe, would not treat, as only treatment is surgery and probable removal of spleen-not a good idea if unnecessary. ...Read more

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I've been having pain in my spleen for a few weeks now and now I'm noticing its having spasms too along with sharp throbbing pain ice had no injury?

I've been having pain in my spleen for a few weeks now and now I'm noticing its having spasms too along with sharp throbbing pain ice had no injury?

Get checked.: You have had abdominal pain too long. You cannot be sure it is your spleen that hurts, but, regardless, you need to be seen in person to find out what is going on. ...Read more

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Can a spleen rupture even without a serious trauma or injury?

Can a spleen rupture even without a serious trauma or injury?

Yes: Spontaneous spleenic rupture can be caused by infectious mononucleosis, blood (hematological) diseases such as hemolytic anemia and certain types of lymphoma, malaria, pancreatitis. ...Read more

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If a person is an alcoholic and his spleen ruptures from an injury what is teatment?

If a person is an alcoholic and his spleen ruptures from an injury what is teatment?

Goto ER: It's an emergency. You could bleed to death. Sometimes surgery is warranted to remove the spleen. ...Read more

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I got spleen removed due to sports injury, can I still consume alcohol?

I got spleen removed due to sports injury, can I still consume alcohol?

Splenectomy: Should not affect alcohol metabolism. It does, however, affect your ability to fight certain infections and cause elevated platelet counts. So you should consult your doctor about prevention against diseases that your splenectomy can predispose you to. ...Read more

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I had my spleen removed after a sports injury, can I still consume alcohol?

I had my spleen removed after a sports injury, can I still consume alcohol?

Yes: Unless your doctor tells you otherwise, there are no restrictions from drinking alcohol or special dietary requirements following surgical removal of a spleen (splenectomy). People who have had their spleen removed are at increased risk of bacterial infection. The risk of infection is much higher among children than adults. The risk also appears to decline with time, but for a few years at the least, and until late adolescence for children, taking precautions against bacterial infections would be wise. This includes getting pneumonia vaccines and flu shots. People without spleens should try to keep their immune systems as healthy and strong as possible. Exercising, eating a healthy diet, reducing stress and getting plenty of rest will all help the immune system. With this in mind, limiting alcohol consumption as part of an overall healthy lifestyle strategy is a good idea, but typically, no added restrictions are issued after a splenectomy. ...Read more

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I've developed a throat cold and have the pain in my spleen area. Could that be caused by the previous injury and scarring?

I've developed a throat cold and have the pain in my spleen area. Could that be caused by the previous injury and scarring?

Mononucleosis?: The fact that you mention a sore throat in conjunction with tenderness in your spleen area is suggestive of, but not conclusive, for mononucleosis. This could be evaluated with your primary doctor or a walk-in clinic with monospot testing. I would recommend that you get seen and evaluated for this. ...Read more

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Clear CT of ab with IV contrast, clear.cxr, clear ua, clear cbc, worrisd about spleen inury, docs are not should I be worried?

Clear CT of ab with IV contrast, clear.cxr, clear ua, clear cbc, worrisd about spleen inury, docs are not should I be worried?

Neg. CT accurate: CT of abdomen with contrast intravenous injection is quite accurate at recognizing splenic injuries such as hematoma, laceration, and contusion. ...Read more

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Do some children gets an enlarged spleen with all viruses? My son already had mono but he seems to get a slightly enlarged spleen whenever he's sick.

Do some children gets an enlarged spleen with all viruses? My son already had mono but he seems to get a slightly enlarged spleen whenever he's sick.

Not with all viruses: Mononucleosis does cause splenic enlargement but all viruses do not cause splenic enlargement. But there are others beside the Ebstein Barr Virus which causes mononucleosis. Cytomegalo virus causes it. But you say it get enlarged whenever he is sick. I suggest you discuss with your pediatrician if it is of concern. If it goes down after his illness.then I see no problem. Discuss with his Pediatrician ...Read more

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Should i be worried about accessory on spleen?

No: Maybe 25% of healthy folks have an accessory spleen or even a few of them. ...Read more

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If my spleen didn't work, would I be able to tell?

If my spleen didn't work, would I be able to tell?

Probably not, maybe: If the spleen is not working, eg from injury from sickle cell anemia, it is more likely to become seriously ill from bacterial meningitis or sepsis (blood infection) from strep pneumonia, neisseria meningitidis, hemophilus influenzae (vaccines are available). You may have anemia or easy bleeding if abnormal spleen is holding on to red cells or platelets. You may have abnormal blood on microscope. ...Read more

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Would I be able to tell if my spleen were enlarged?

Not likely: The spleen is located toward the back and under the left ribs. The spleen would have to become quite large for someone to be able to feel it or cause local pressure feelings. ...Read more

Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more


Dr. Joseph Sucher
40 doctors shared insights

Spleen Injury (Definition)

Trauma or damage to the spleen, which is an abdominal organ that produces and ...Read more