Doctor insights on:
Signs And Symptoms Of A Ruptured Spleen
Abdominal Pain: The spleen is a very vascular organ. Significant trauma may cause internal bleeding within the abdominal cavity. Blood is an irritant to the lining of the abdomen, causing pain wherever the blood may be. While the spleen resides behind the rib cage in the left upper abdomen, the pain can occur wherever the blood goes. If severe, the anemia can cause a rapid heart rate and/or lightheadedness. ...Read more
Potentially...Very: 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
Sure: A ruptured spleen can be fatal depending on the extent of the injury. Imho that is the worst thing it can do to you. However, even removing the spleen (and saving your life) can lead to overwhelming infections. Most of us try nonoperative therapy first followed by surgery if this fails. Most of the time a repair can be done, but sometimes it must be removed. ...Read more
Painful: The spleen lies just under the diaphragm on the left side so when it ruptures the blood gets under the diaphragm causing significant pain with each breath and sometimes into the left shoulder blade area additionaly blood will run down left side causing pain along left side even into pelvis. It is usually very painful. ...Read more
Usually : Ruptured spleen causes intra abdominal hemorrhage and shock within a few hours of injury. In some cases, a small tear can cause limited bleeding, which can even stop. The only way to know for sure whether you have a splenic injury or not, or its extent, is to do an imaging study, such as ultrasound or ct scan. ...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
Splenic injury: Splenic rupture is rupture of the spleen capsule. The spleen is located in the left upper abdominal area. The symptoms can range from left upper abdominal pain to shoulder pain and pleuritic chest pain. In advanced situations tachycardia and hypotension will develop as signs of shock. I hope this is of help. ...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 one's life span. ...Read more
Symptoms can: Vary, depending on degree of injury and amount of bleeding. In severe cases, one can go into hemorrhagic shock. In mild cases, it could be just left upper quadrant pain with radiation to shoulder. Consult your doctor for specific recommendation in your case. ...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
Very bad: Splenic "rupture" or injury is usually a result of direct blunt trauma. It is accompanied by severe pain. Dizziness or light headedness can be experienced, due to internal bleeding. This can be a life-threatening problem and if there is any concern, you should seek immediate medical evaluation. ...Read more
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
Depends on cause:
Fist two aspects to recovery: 1) trauma with associated injuries 2) solely spleen issue
trauma = more time
second two aspects: 1) minimally invasive surgery 2) large incision
large incision = more time
simple case is a few days
complicated case can be several weeks
if no surgery to remove the spleen then may be several months until activity is real ease to normal. ...Read more
Spleen: The pain most commonly associated with a traumatic splenic rupture is for the most part localized to the left upper quadrant of the abdomen. This localized pain can at times become generalized yielding diffuse abdomen pain. Additionally, some patient may experience a phenomenon known as kehr's sign which is left sided diaphragmatic irritation that results in left shoulder pain. ...Read more
Pain AND BLEEDING: Left upper quadrant and left shoulder pain probably present, due to bleeding. It depends on the extent of injury whether surgery is needed. Bedrest and observation under medical care necessary until stable. Unstable or continuous bleeding requires surgery and removal of spleen. After splenectomy, then vaccines for some bacteria would be necessary. ...Read more
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