How to tell if I have a ruptured spleen?

answered:

Usually

Rupture
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.
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Abdomen Bleeding Computed tomography Ct scan Heavy bleeding Hemorrhage Imaging Injuries Rupture Ruptured spleen

You cannot

Spleen
The patient would have serious abdominal pain, shock, even death. Usually after major athletic or vehicular trauma. Occasionally with other disease with enlarged spleen a rupture can occur.
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Rupture Ruptured spleen