What are your chances of surviving when your spleen ruptures?

Spleen rupture: Surviving a spleen rupture depends on many factors. The most important is how quickly the patient is brought to a trauma center. There are also different degrees of splenic rupture. Many can be treated in x-ray with embolization and blood transfusions and avoid surgery. A severe rupture with heavy bleeding and the patient in shock will usually require emergency surgery.

Other injuries?: Most people survive isolated splenic rupture if taken promptly to a major trauma center. However, ruptured spleens are often seen in patients with multiple other injuries (such as rib fractures, pelvic fractures, spinal injuries, and head injuries). Multiple trauma patients have a much lower survival rate depending on the type and extent of organs injured.

100%, almost: A rupture of the spleen should almost never be fatal, unless there are other injuries in the abdomen with internal bleeding that cannot be controlled.