Doctor insights on:
If My Spleen Ruptures How Long Do I Have To Live
Depends: If you have a ruptured spleen and get to hospital on time to be treated you will have a normal life; however, if splenectomy is performed, you will need to be vaccinated against encapsulated bacteria because you will be very susceptible to develop infections from such bacteria once you have no spleen. ...Read more
Depends: A ruptured spleen can range from very serious, even life threatening to relatively minor event depending on the reasons for the rupture and the initial care. In general, your team of docs wants to see that your blood counts are stable, your bowels are working, you are willing and able to care for yourself at home, pain is under control. Ok to ask your care team. ...Read more
Perhaps 6-12 months: Most ruptured spleens are due to trauma, in which case most of the time they are surgically removed. You can live without a spleen, though it does have some impact of immune function. Iron storage (also done in bone marrow and liver), and old red blood cell destruction (life of an RBC is 100 days). Must avoid any contact sports or further trauma to that area (left upper quadrant of abdomen). ...Read more
Medical Care Needed: The spleen is a very vascular organ and, though well protected by the rib cage, is susceptible to blunt trauma. Minor injuries may usually be managed by "watchful waiting", but rupture can lead to life-threatening bleeding. In the past, this meant splenectomy. Nowadays, we can often stop the bleeding nonsurgically by internally closing off the bleeding vessels via interventional radiology. ...Read more
At least 3 months: We recommend to maintain precautions for at least three months, and in high risk patients (like someone playing contact sports) to obtain a repeat scan before being cleared to resume the risky activity. ...Read more
Life: Potentially a full life if bleeding is effectively controlled. Not having a spleen is very unlikely to change ones life span. ...Read more
Depends: Splenic injuries are graded for severity. Less severe injuries may be treated non-operatively. More severe injuries may require emergency surgery. ...Read more
Depends: Most of the time ruptured spleen is a result of significant trauma and the abdominal pain would be very noticeable, and the person is evaluated and diagnosed quickly in an emergency room setting. But, I have also seen torn spleen that ruptures days after a neglected injury in someone who did not seek medical evaluation immediately after a significant traumatic injury. ...Read more
ASAP: Spleen injury can be very serious! The spleen is prone to bleeding, which could become life threatening. If a spleen injury occurs, you need to go to a hospital as soon as possible for evaluation. Most bleeding stops on its own and does not require surgery. But the only way to tell for sure is to have it checked out at the hospital. ...Read more
On other trauma, size of spleen, and technical features.
If isolated splenectomy get in, do, get out--2 hours?
A few days.: If the spleen is only minorly injured and there is only minimal or no bleeding a couple of days is usually enough, as long as it is the only injury. If it is a more major rupture and there has been some bleeding it may be several days. If it has to be removed it will depend on how you do postoperatively but will likely require at least 2 days after surgery and likely more than 2. ...Read more
5-10 days: For a ruptured spleen your doctors will make sure no bleeding occurs. Next you need to be able to eat food and hold it down. They should have removed your ng tube by now. You may have staples in your skin. Those stay in until follow up. Be well and always wear your seat belt. ...Read more
Splenic injury: The length of time required for a splenic injury to heal will invariably depend on the grade on the injury (i.e. Severity of the injury). It can take six weeks to several months for a complete recovery. ...Read more
Unlikely: The most common cause of splenic injury is blunt trauma that occurs folllowing motor vehicle crashes. The degree of injury can vary from a mild bruise, to a tear, to a frank rupture. The spleen is a very vascular organ; if the injury is severe, life-threatening bleeding can occur that, if left untreated, can lead to death. Thankfully, most people make it to the er before that occurs. ...Read more
Depends: Generally very good if you get early medical care. ...Read more
Unpredictable: Splenic trauma puts one at-risk for internal bleeding, the severity of which varies by the degree of injury. When evaluated w/a ct scan & monitored in a hospital setting, some people may avoid surgery; others require life-saving splenectomy. Therefore, ones chances of surviving splenic rupture in a hospital setting are very high; outside the hospital, unpredictable and dangerous. ...Read more
Depends on quality:
Of the spleen.
If its a healthy, then considerable amount of force would be needed, or a rib fractured in that area can puncture it. A fall onto left side causes the left elbow hitting the splenic region is a known way of splenic rupture.
If the spleen is diseased (weakened) from any cause, then a minor trauma can certainly rupture it. ...Read more
Need more info: Was the spleen removed with surgery or did the ruptured spleen heal on its own? If removed it will not grow back, but small chance if there were any pieces of residual spleen that small pieces may grow. If the spleen ruptured & healed on its own then there is no change to the spleen. ...Read more
Yes, with trauma: Trauma to the left upper portion of your abdomen or the lower portion of your left ribcage can result in a splenic injury, either a laceration or contusion/hematoma of the spleen. The main worry with a splenic injury is bleeding. A hemodynamically stable patient with such an injury may be put at bedrest and followed closely. Others go to the OR for repair or removal of the spleen. ...Read more
Pain: I would believe most cases of splenic ruptures would be trauma such as a car accident or participating in contact sport as football. There are medical conditions that cause enlargement of the spleen and could possible cause a rupture. Pain would be the most common symptom. The pain most likely would be in the abdomen but pain can be referred to other areas such as the back, chest, or pelvis ...Read more
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