Doctor insights on:
What Could Happen If Your Spleen Is Ruptured
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 moreSee 1 more doctor answer
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. ...Read moreSee 1 more doctor answer
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
Usually: Any internal bleeding within the abdominal cavity tends to irritate the lining of the cavity, simulating peritonitis, and causing significant pain. On rare occasion, a "contained rupture" of the spleen may occur which is not painful, only to "open up" days top weeks later. ...Read moreSee 1 more doctor answer
Usually: A ruptured spleen will usually cause internal bleeding within the abdominal cavity, which is quite painful and hard to miss. On occasion, there may be a contained rupture that does not cause immediate symptoms; this would be seen by ct scan even in the absence of symptoms. ...Read moreSee 1 more doctor answer
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