Doctor insights on:
What Is The Difference Between A Splenic Rupture Or Laceration
None: They both really mean the same thing. Since most splenic injuries are a result of blunt trauma we refer to them as having burst or ruptured. You can get a laceration implying a cut from penetration trauma or a surgical misadventure. But for the vast majority of people the spleen gets a blunt force injury causing it to burst and get " lacerated". ...Read more
Different extent: They are all part of the continuum of splenic injury. A laceration is an injury to just part of the spleen, rupture is a more extensive injury. Most splenic injuries these days are managed without an operation. However if there is significant bleeding from it, it may require removal or repair of the spleen. ...Read more
What's the best way to tell the difference between an intercostal tear/sprain and a minor spleen rupture?
Need to see a doctor: For a more detailed history, physical exam and possible testing, Do not try to self diagnose. ...Read more
Can vision be fully restored after a corneal laceration/penetrating eye injury (involving deeper layers of cornea), but not a globe rupture?
Vision restored: Yes but depends on what is going on in more detail. ...Read more
Perhaps: So much strain on the body during the vomiting sessions. You need to get help and work on modification techniques ...Read more
In '08 I had grade IV spleen laceration and liver contusion would that cause any long-term problems that I should be aware of? They did cork my spleen
It might: It might with infections but you will probably be okay. ...Read more
Is it okay to drink alcohol 2 1/2 weeks after a grade 3 spleen laceration? I don't take the pain medication anymore and am not hurting
Probably OK: Most patients who are going to have trouble with splenic injury do so within the first 4 days. Virtually everyone else heals up just fine. Don't get drunk and fall down as your spleen feels fine but is not completely healed. ...Read more
Depends: The grade of injury, mechanism of injury, associated injury (i.e. Chest, liver, etc, as commonly occurs with mvc...) all figure into the overall mortality rate. Many surgeons are good at addressing splenic injury but isolated splenic injury is uncommon. ...Read more
I have a splenic cyst that measures 4.4 cm. Would exercise put me at any risk for a rupture of the spleen?
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
Hemorrhage, aka...: ...Bleeding. The spleen is a very vascular organ; when injured, life -threatening bleeding may occur. If unstable, the bleeding must be stopped asap, typically surgically or via interventional radiology. If the bleeding is not uncontrollable, careful close observation is the preferred rx approach. ...Read more
Your chances are. ..: Good. Surgeons frequently see splenic injuries (ruptures) from blunt abdominal trauma. Patients who are hemodyamically stable and not actively bleeding can often be treated nonoperatively, and the spleen scars back together. Unstable, actively bleeding patients undergo operation to repair or remove the spleen. In developed countries, it is rare to die of a splenic injury these days. ...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
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
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