See below. 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.
Depends. The best treatment for splenic injury is the one that is based on the individual patient problem. Splenic injuries can range from one that "bruises" the spleen, to one that completely disrupts the spleen from its blood supply. We attempt "non-operative" management for most injuries. For some, splenic artery embolization is used. Operatively, splenic repair can be attempted. Finally, removal.