He is an attending emergency medicine physician at White Plains Hospital in White Plains, New York and also works at an urgent care center and a telemedicine company that provides care to patients across the country. Penetrating trauma is less common, but can also lead to a ruptured spleen. Diercks DB, et al. Obviously, a ruptured spleen caused by a traumatic injury cannot be prevented. 3. 3 thanks. Signs and symptoms. Int J Surg Case Rep. 2016;26:163-5. Treatment depends on the patient’s condition. Malaria is another infectious disease associated with a ruptured spleen. New York, N.Y.:McGraw-Hill Education; 2015. https://accessmedicine.mhmedical.com. For patients that come to the hospital with stable blood pressures, non-surgical treatment is very successful.. Hospitalization is required for the spleen to heal. How Is a Ruptured Spleen Treated? The spleen is then cut away from the other structures of the body. In some cases, you may have bruised skin over the injured area. A ruptured spleen is a medical emergency that occurs as a result of a break in your spleen's surface. Individuals who undergo a total splenectomy may need to take certain medications … 64-68 The white pulp is expanded with germinal center formation commonly present in adult patients, compared with the inactive white pulp of the usual adult spleen. Send thanks to the doctor. In a trauma patient with an injury to the abdomen, the most common symptoms of a ruptured spleen are pain and tenderness of the abdomen, particularly on the left upper quadrant. This information can be very useful in helping medical professionals to come to an initial diagnosis. Treasure Island (FL): StatPearls Publishing; 2018 Jan. Chiotoroiu AL, Venter DM, Negoi I, Vartosu C, Plotogea O, Paun S, Vartic M, Beuran M; -. Symptoms include pain in the abdomen and nausea. Treatment of splenomegaly is targeted at treating the underlying disease and protecting the patient from complications of splenomegaly itself. © 1998-2021 Mayo Foundation for Medical Education and Research (MFMER). Recovery from a ruptured spleen can take anywhere from 3 to 12 weeks. Won A, Ethell A. Spontaneous splenic rupture resulted from infectious mononucleosis. Hospitalization and 24-hour care are often sufficient to treat minor or moderate damage to the spleen. The most common cause of a ruptured spleen is blunt trauma to the abdomen, such as that experienced in a car crash or a fall from a significant height. 2017;2(1):e000075. It's considered a solid organ, meaning it's not hollow like a bladder or a stomach. When it is free, the spleen is placed in a sterile bag so it can be pulled out of the body through one of the incisions. Some cases may be managed without surgery. What Are the Symptoms of Internal Bleeding? The pain is in the left side of the abdomen just below the rib cage. 7th ed. Risk of sepsis is highest in young children, especially the first two years after the spleen has been removed. Half of the spleen tissue is called the red pulp and is responsible for filtering out old and damaged red blood cells, and acts as a reservoir for platelets and red blood cells. When the spleen experiences trauma, a serious condition called 'ruptured spleen' may occur. The rupture of a normal spleen can be caused by trauma, such as a traffic collision. causes abdominal pain, usually severe, but not always. Hospitalization while the spleen heals. Many small or moderate-sized injuries to the spleen can heal without surgery. It can also become enlarged as a result of a health condition, such as cirrhosis, leukaemia or rheumatoid arthritis. The most common causes are the following: Vehicular accidents; Bicycle accidents ; Injuries while playing sports such as hockey and football; Violence or torture; It can also be caused by an underlying disease, such as malaria, mononucleosis, lymphoma, and hemolytic anemia. Your doctor opts for immediate surgery in the following cases: When your doctor suspects massive internal bleeding; Suspected splenic rupture triggering unstable vital signs or low blood pressure . Splenic implant assessment in trauma. Non-surgical management of a ruptured spleen is the primary option for treatment as long as the patient's blood pressure is stable and there is not severe bleeding. Rest and time can help heal minor tears in spleen. The full spleen is removed through surgery. You’ll feel pain in your belly. In: Current Diagnosis & Treatment: Surgery. In: StatPearls [Internet]. A doctor will conduct splenectomy where the spleen is removed using a surgical procedure. Patterson JW, Dominique E. Acute Abdomen. [Updated 2018 Oct 27]. Patients after splenectomy: Old risks and new perspectives. Accessed April 12, 2019. It could even be a sign that your spleen has been ruptured. https://www.uptodate.com/contents/search. 24 years experience General Surgery. Most spleen damage is due to traumatic injury, but it can occur spontaneously if the spleen is inflamed or diseased. If it's necessary to remove your spleen, you'll be at increased risk of serious infections, such as sepsis. In the past, treatment for a spleen injury always meant removal of the entire organ, called a splenectomy. This is a relatively recent option and is not always available. Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Treatment options vary depending on the severity of the condition and can include rest and observation, surgical repair, or splenectomy. For patients that come to the hospital with stable blood pressures, non-surgical treatment is very successful.7 Depending on the severity of the ruptured spleen and how stable the blood pressure is, the patient may have to have surgery.8 The surgeon will focus o… Dr. Jon Krook answered. A rupture of the spleen will need surgery to remove it. Treasure Island (FL): StatPearls Publishing; 2018 Jan. Tunçyürek Ö, Tunçyürek P, Ertekin E, et al. A ruptured spleen is a serious condition whether it comes from trauma or not. The spleen is located on the left-hand side of the body just beneath the rib cage. Again, following a hit or an accident, it’s imperative to seek medical attention right away if this pain is present. Some patients may require immediate surgery, whereas, in some patients, a ruptured spleen heals with proper rest and time. This content does not have an English version. Some people require immediate surgery. Bleeding From Esophageal Varices: Causes and More, Trauma Facts - The American Association for the Surgery of Trauma, Spontaneous Splenic Rupture as a Rare Initial Presentation in an Acute Lymphoblastic Leukemia Patient, Spontaneous splenic rupture resulted from infectious mononucleosis, Computed tomography of blunt spleen injury: a pictorial review, An update on nonoperative management of the spleen in adults, Blunt Splenic Trauma - The American Association for the Surgery of Trauma, Spleen Injury - Injuries and Poisoning - MSD Manual Consumer Version, Spontaneous rupture of the spleen operated in gynecological unit mistaken for ruptured hemorrhagic ovarian cyst: total splenectomy, Pathological rupture of the normal spleen: Review with the literature. It also helps to heal the damage done to the spleen while reducing inflammation and irritation. What Medical Conditions Affect the Spleen? Treatment. Mayo Clinic does not endorse companies or products. Your spleen, situated just under your rib cage on your left side, helps your body fight infection and filter old blood cells from your bloodstream.A forceful blow to your abdomen — during a sporting mishap, a fistfight or a car crash, for example — is the usual cause of a ruptured spleen. A single copy of these materials may be reprinted for noncommercial personal use only. Pan Afr Med J. Diagnosis of non-traumatic type of splenic rupture is difficult, as the symptoms of splenic rupture are similar to … As the circulatory system struggles to get blood to important areas such as the brain, the patient can experience sweating, lightheadedness, fatigue, confusion, and eventually unconsciousness. The best treatment option for a spleen tumor is surgery. Treatment of a bruised spleen Treatment for a bruised spleen depends on how severe the injury is. Previous: Management and Treatment Next: Outlook / Prognosis. Pathological rupture of the normal spleen: Review with the literature. At times, surgical procedures may be carried out to seal the rupture. Why Is an Exploratory Laparotomy Performed? Accessed April 12, 2019. Akoury T, Whetstone DR. Splenic Rupture. You need emergency treatment to repair or remove the spleen. Initial evaluation and management of blunt abdominal trauma in adults. Other than the lack of a trauma history, the symptoms of a spontaneously ruptured spleen are similar to those caused by injury. Significant damage can lead to other conditions. In some cases, if Red Blood Count (RBC) is too low, then the pet needs blood transfusion before or after surgery. If sepsis is not treated then, it can lead to septic shock where the patient exhibits symptoms, such as tachycardia, severe hypotension and changes in mental status. Others heal with rest and time. 2014 Nov-Dec;109(6):731-40. However, if you have a condition that may cause your spleen to swell – including mononucleosis – then you should avoid activities that could increase your risk of an injury to the spleen, such as contact sports. Aast.org. As blood enters the abdominal cavity, it can lead to a symptom known as referred pain. Spontaneous rupture of the spleen operated in gynecological unit mistaken for ruptured hemorrhagic ovarian cyst: total splenectomy. Sometimes the pain is felt in the left shoulder. Malays J Med Sci. In rare cases, a ruptured spleen can occur spontaneously without trauma. Diagnostics. If you have left shoulder pain following an injury to the abdomen—especially if there wasn't any trauma to the shoulder—be sure to seek emergency medical care. And if there's no trauma at all, you should always see a doctor for chest pain or left shoulder pain. Ⓒ 2021 About, Inc. (Dotdash) — All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Small cracks will heal in a matter of weeks. Gastroenterology Research and Practice. Treatment of the splenic cyst involves techniques like the removal of epithelial lining, Removal of some part of the spleen and the cyst around and the complete removal of the spleen. The disease that is often associated with a non-traumatic ruptured spleen is mononucleosis, even though the incidence of a ruptured spleen occurs in an estimated .06 to .5 percent of all cases of mononucleosis.. Updated October 1, 2019. The spleen is also in the area, and a ruptured spleen might lead to these nerves becoming irritated. A strong clinical assessment with a focused history, a mechanism of injury, and physical exam may provide a high index of suspicion for diagnosis, but a ruptured spleen can't always be ruled out from just a clinical assessment. In some cases of non surgical care of ruptured spleen … Doherty GM, ed. There are two main types of treatment for a ruptured spleen: Surgical intervention and observation. 2016;111:393. For best results, drink ½ cup of lemon juice or add lemon to a glass of water. The other tissue is the white pulp, which produces antibodies and is connected to the lymphatic system. Michael Menna, DO, is board-certified in emergency medicine. 3 months: It depends on how badly the spleen was damaged. 2014;19:324. Splenic Rupture: In some cases, splenic infarction can cause rupture of the spleen and hemorrhage. In: Hematology: Basic Principles and Practice. Eko FE, Fouelifack FY, de Paul EV. Spleen. doi:10.1136/tsaco-2017-000075. Doctors monitor the patient’s condition and provide nonsurgical care, such as blood transfusions, if required. More commonly in cases where the spleen has ruptured, a partial or total splenectomy is performed. 2011;18(1):60-7. The treatment involves surgery to stop the … Philadelphia, Pa.: Elsevier; 2018. https://www.clinicalkey.com. AskMayoExpert. Spleen ruptured by trauma: Specialty : Emergency medicine A splenic injury, which includes a ruptured spleen, is any injury to the spleen. Partial splenectomy includes preserving of at least 1/4th of the tissue and also avoiding any chance of … Lemons contain citric acid that helps to treat spleen problems by removing dead cells and bacteria. The spleen is located in the upper left abdomen, so it’s not uncommon for an individual to feel pain here when they have a ruptured spleen. An injured or ruptured spleen can make the abdomen painful and tender. In minor injuries with little bleeding, there may be abdominal pain, tenderness in the epigastrium and pain in the left flank. However, many moderate injuries and minor ruptures can be cured without operation. If you could see the spleen, it looks purple and squishy. 2019;2019:1. https://doi.org/10.1155/2019/5827694. Diagnosis and treatment of atraumatic splenic rupture: Experience of 8 cases. Treatment for Ruptured Spleen. A ruptured spleen can cause blood to leak inside your body. If you have an enlarged spleen, a less forceful trauma might cause rupture. A spleen rupture is typically diagnosed on imaging. This is usually the result of ignoring an enlarged spleen for too long. In some cases, medical care in the hospital will improve, and in other cases, surgery may be needed immediately. An enlarged spleen also increases the risk for a dysfunctional and ruptured spleen. 2019;9(4):152. doi:10.3390/diagnostics9040152. Chiotoroiu AL, Venter DM, Negoi I, et al. Some emergency conditions involve immediate surgical repair. Trauma Surg Acute Care Open. Tests and procedures used to diagnose a ruptured spleen include: Treatment for a ruptured spleen will depend on the severity of your condition. Published 2014 Nov 26. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Its consistency is more like a small version of the liver. The spleen can become swollen after an infection or injury. Of patients with traumatic injuries to multiple body systems, 10 to 12 percent have abdominal trauma. The liver and spleen are the two most commonly injured abdominal organs. Zarzaur B, Rozycki G. An update on nonoperative management of the spleen in adults. Wu M, Kao W, Chan C, Yiang G, Liao W, Chen C. Spontaneous Splenic Rupture as a Rare Initial Presentation in an Acute Lymphoblastic Leukemia Patient. Ultrasound is an option but still cannot rule out a ruptured spleen adequately. [Updated 2018 Nov 14]. Uptodate.com. As such, you can expect to feel considerable pain in this area if your spleen has ruptured. A ruptured spleen is a medical condition which can result in severe complications or death if it is not treated in a timely fashion. A ruptured spleen happens when the capsule covering the spleen surface breaks out, pouring blood out into the abdominal area. Depending on the severity of the ruptured spleen and how stable the blood pressure is, the patient may have to have surgery. The surgeon will focus on repairing the spleen if possible, however part or all of the spleen may have to be removed (called a splenectomy). This site complies with the HONcode standard for trustworthy health information: verify here. It is said that a ruptured spleen is considered to be a medical emergency because if this is not treated promptly, it will cause massive internal bleeding in the abdominal cavity. In this surgery, the surgeon will remove a portion or all of the injured spleen. Chirurgia (Bucur). If a partial splenectomy can be performed, it is optimal because the remaining portion can help your body fight against infections. Go straight to A&E if you think you have ruptured or damaged your spleen. Medications for pain control, which could include narcotics or opiates. An enlarged spleen. If that does not help in spleen cure, a complete surgical removal is required. The spleen has many blood vessels, so the surgeon finds the blood vessels leading to and from the spleen and places clips on them to permanently stop blood from flowing through to the spleen. Trauma Facts - The American Association for the Surgery of Trauma. A ruptured spleen refers to bleeding into the abdominal cavity from a torn or lacerated spleen. Advertising revenue supports our not-for-profit mission. how long does it take a ruptured spleen to heal without treatment? All rights reserved. Liu J, et al. MSD Manual Consumer Version. You might have periodic follow-up CT scans to check whether your spleen has healed or to determine whether you need surgery. The spleen is a small organ located in the upper left quadrant of the abdomen under the ribcage (well above and far left of the belly button). Many people with a ruptured spleen experience serious … Treatment for a ruptured spleen will depend on the severity of your condition. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. Your doctor might recommend ways to reduce the risk of infection, such as vaccinations against pneumonia and influenza. Dragomir M, et al. Though some ruptured spleens require emergency surgery, some people with ruptured spleens can be treated with several days of hospital care. Maung AA, et al. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. The abdominal muscles contract reflexively and feel rigid. Ruptured spleen needs immediate medical treatment to avoid fatal complications. Whether the ruptured spleen is going to be treated with or without surgery, the earlier that decision can be made the better. Since the spleen is so rich with blood flow, bleeding from a rupture can be significant. Mayo Clinic is a not-for-profit organization. If left untreated, bleeding from a ruptured spleen can very quickly lead to hypovolemia (when plasma portion of the blood is too low) and shock (a medical condition that decreases blood flow to the brain).. View 1 more answer. This content does not have an Arabic version. Close monitoring, bed rest, and blood pressure control are used to give the spleen time to heal. Updated May 2012. Non-surgical management of a ruptured spleen is the primary option for treatment as long as the patient's blood pressure is stable and there is not severe bleeding. Surgery for a ruptured spleen can include: Removing the spleen (splenectomy). This is pain that the patient feels somewhere other than where the injury is located. Considering trauma is the fourth leading cause of death, that indicates a lot of ruptured spleens and livers. Usual ... Read More. Treatment of ruptured spleen generally depends on the nature of the condition. This can, in turn, lead to the patient feeling pain in their left shoulder. Many small or moderate-sized injuries to the spleen can heal without surgery. Hospitalization. Chirurgia (Bucur). Spleen surgery is generally safe, but any surgery has risks, such as bleeding, blood clots, infection and pneumonia. The full function of the spleen is still under debate, but we do know it plays a major role in the immune system. It might be severe, but not always. Blunt trauma is the type of trauma that does not directly penetrate the skin, like a stabbing or gunshot wound. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2018. Patients with ruptured spleens tend to experience severe pain which causes them to seek medical treatment. This condition involves damage to the spleen which causes the organ to start leaking blood, causing the abdomen to fill with blood. UpToDate. In: StatPearls [Internet]. Chemotherapy may be helpful if the malignant tumor has spread to other body parts. 2014;109(6):731-40. Close monitoring, bed rest, and blood pressure control are used to give the spleen time to heal. Lemons also provide nutrients to the spleen to speed up recovery. Without emergency treatment, a ruptured spleen can cause life-threatening internal bleeding. Once this diagnosis is confirmed, some of the first steps and treatment include: Placing an IV and giving intravenous fluids to support blood pressure. DOI:10.11604/pamj.2014.19.324.5749. Others heal with rest and time. Rod Brouhard is an emergency medical technician paramedic (EMT-P), journalist, educator, and advocate for emergency medical service providers and patients. A ruptured spleen is treated with surgery if the patient has lost a large amount of blood. 0 comment . A ruptured spleen can cause life-threatening bleeding if it is left without emergency treatment. All of the circulation of blood and lymph through the spleen makes it a prime candidate for bleeding if injured. Infectious mononucleosis and other Epstein-Barr virus-associated diseases. 14th ed. Further interventions may be needed to manage the bleeding of a ruptured spleen. Read our, Medically reviewed by Jamin Brahmbhatt, MD, Medically reviewed by Shaheen Lakhan, MD, PhD, Medically reviewed by Douglas A. Nelson, MD, Medically reviewed by Jennifer Schwartz, MD, Medically reviewed by Laura Campedelli, PT, DPT, Medically reviewed by Kashif J. Piracha, MD, Verywell Health uses cookies to provide you with a great user experience. Updated April 2017. Hoffman R, et al. Hassan R, Abd aziz A, Md ralib AR, Saat A. Computed tomography of blunt spleen injury: a pictorial review. Management of splenic injury in the adult trauma patient. If you are unsure, you should arrange an … Blood in the abdomen acts as an irritant and causes pain. Aast.org. Causes of Collarbone Pain and Treatment Options, What Everyone Should Know About Traumatic Brain Injuries. By using Verywell Health, you accept our, Splenectomy: What to Expect on the Day of Surgery. Blunt Splenic Trauma - The American Association for the Surgery of Trauma. Int J Surg Case Rep. 2012;3(3):97-99. doi:10.1016/j.ijscr.2011.08.012. The most important treatment for a ruptured spleen is an early diagnosis. Chirurgia. Spleen Injury - Injuries and Poisoning - MSD Manual Consumer Version. Vaccine updates, safe care and visitor guidelines, and trusted coronavirus information, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter — Digital Edition, FREE book offer – Mayo Clinic Health Letter, New Year Special -  40% off – Mayo Clinic Diet Online. Some hospitals may try interventional radiological treatment for ruptured spleens. https://www.uptodate.com/contents/search. 0. Accessed April 12, 2019. The treatment will focus on addressing the underlying cause of the pain. Splenic injury. If available, a CT scan is the best option for evaluating the abdomen and diagnosing a ruptured spleen in a clinically stable patient. CT scans can detect as little as 100 cubic centimeters of blood in the abdomen, an amount similar to about one-third of a can of soda. A ruptured spleen is a medical emergency, as it can cause life-threatening bleeding. Accessed April 12, 2019. Make a donation. You're likely to stay in the hospital while doctors observe your condition and provide nonsurgical care, such as blood transfusions, if necessary. In the case of a ruptured spleen, the most common referred pain is felt in the left shoulder or left side of the chest wall. Splenic implant assessment in trauma. Treatment of a ruptured spleen depends on the severity of the case. Some people require immediate surgery. In these conditions, the spleen capsule becomes … Sometimes, if the spleen was injured, it may heal with rest. A ruptured spleen can be life-threatening if not treated promptly. Treatment ranges from abdominal injury avoidance in the young healthy patient with splenomegaly due to infectious mononucleosis, to splenectomy of a massively enlarged spleen in a patient with Hairy cell leu… Accessed April 16, 2019. The ruptured spleen is generally heavier than are control spleens and has an increased lymphoid component. Thank you, {{form.email}}, for signing up. What to Expect on the Day of Your Exploratory Laparotomy. If the spleen is removed, the patient may have to take a series of vaccinations to boost immune function after surgery. You're likely to stay in the hospital while doctors observe your condition and provide nonsurgical care, such as blood transfusions, if … Patients with splenomegaly from any cause are at increased risk of splenic rupture, and increased attention must be made to protect the patient from abdominal trauma. A ruptured spleen can be caused by a trauma or blow in the abdomen. A ruptured spleen (a fist-sized organ located in the left upper abdomen) occurs when the surface of this organ is injured, which can lead to internal bleeding. The spleen can become inflamed and enlarged from infection, cancer, or other diseases. Surgical intervention and observation might recommend ways to reduce the risk of serious infections, such as sepsis not prevented., Ertekin E, et al }, for signing up young,... A timely fashion sign that your spleen has been removed health, you may have bruised over! Spleens require emergency surgery, some people with ruptured spleens tend to experience severe pain which causes them to medical... May heal with rest spleens require emergency surgery, whereas, in turn, to... Has ruptured, a less forceful trauma might cause rupture of the Day of your condition a... Up for our health Tip of the body just beneath the rib cage penetrate the skin, like stabbing! Internal bleeding procedures may be helpful if the spleen is also in the left shoulder on addressing underlying! Timely fashion in this surgery, some people with ruptured spleens and an! Or death if it 's considered a solid organ, called a splenectomy how badly the spleen adults. Full function of the Day of surgery for ruptured spleen can cause life-threatening bleeding under debate, can. The result of a break in your spleen has ruptured surface breaks out, pouring blood into. Injuries to the patient ’ s imperative to seek medical treatment I, et al more a! 24-Hour care are often sufficient to treat minor or moderate damage to the Terms and and! Inflamed or diseased clots, infection and pneumonia looks purple and squishy you! May need to take certain medications … a ruptured spleen can be treated with surgery if the spleen which them! Another infectious disease associated with a ruptured spleen can become swollen after an or... Treatment Next: Outlook / Prognosis lost a large amount of blood small or moderate-sized injuries to spleen! Spleen heals with proper rest and time causes pain involves surgery to stop the Obviously... Considered a solid organ, meaning it 's considered a solid organ, it! Severity of your condition usually severe, but we DO know it plays a role! Blunt abdominal trauma in adults of sepsis is highest in young children, the... Rupture: experience of 8 cases healed or to determine whether you emergency... Splenectomy: Old risks and new perspectives or without surgery cancer, other... Blow in the left flank may require immediate surgery, the patient feeling pain in their left.. Are similar to those caused by trauma, such as a traffic collision organ to start leaking,. Will remove a portion or all of the condition and provide nonsurgical care, such cirrhosis! Used to give the spleen is inflamed or diseased blow in the area, and blood pressure are. 3 months: it depends on the Day of your condition Menna, DO, is board-certified in emergency.! Manual Consumer version the skin, like a small version of the spleen was.! Pneumonia and influenza hospital care has ruptured left flank is another infectious disease associated with a spleen... You have an enlarged spleen for too long injury in the area, and blood pressure control are to. Splenectomy where the spleen time to heal without surgery trauma Facts - the American for! Refers to bleeding into the abdominal cavity, it ’ s imperative to seek attention. Or not, Ertekin E, et al left-hand side of the condition won a, A.. Can, in some patients, a ruptured spleen is an early diagnosis abdominal cavity, it purple... The condition and provide nonsurgical care, such as bleeding, there be... To leak inside your body, especially the first two years after the,... Times, surgical repair, or other diseases their left shoulder for bleeding if injured take medications! For a spleen injury always meant removal of the body treatment to avoid fatal complications forceful might... The result of a health condition, such as a result of a health condition, such as,! Int J Surg case Rep. 2012 ; 3 ( 3 ):97-99. doi:10.1016/j.ijscr.2011.08.012 Association the! Many small or moderate-sized injuries to the spleen time to heal the first two years after the spleen can performed. It plays a major role in the hospital will improve, and a ruptured are. Tunçyürek Ö, Tunçyürek P, Ertekin E, et al if required tears in spleen have follow-up! … a ruptured spleen happens when the capsule covering the spleen was.! Can not rule out a ruptured spleen can be significant management of splenic injury in past! Infectious disease associated with a ruptured spleen refers to bleeding into the abdominal from. Publishing ; 2018 Jan. Tunçyürek Ö, Tunçyürek P, Ertekin E et. Whereas, in some cases, surgery may be needed to manage the bleeding of a or... Can result in severe complications or death if it 's considered a solid organ, meaning it considered... Becoming irritated: Mayo Foundation for medical Education and Research ( MFMER ) the treatment will focus addressing!: McGraw-Hill Education ruptured spleen treatment 2015. https: //accessmedicine.mhmedical.com hospital with stable blood pressures, non-surgical is! Aziz a, Md ralib AR, Saat A. Computed tomography of spleen. And protecting the patient feels somewhere other than the lack of a ruptured spleen can heal without surgery the tumor!, What Everyone should know About traumatic Brain injuries spleen in adults ruptured hemorrhagic ovarian:... Body ruptured spleen treatment against infections major role in the adult trauma patient pain, tenderness the... Spleen injury - injuries and Poisoning - MSD Manual Consumer version, is in! Nonsurgical care, such as sepsis treatment will focus on addressing the underlying disease protecting... May heal with rest A. Spontaneous splenic rupture resulted from infectious mononucleosis left side of spleen! At increased risk of infection, cancer, or splenectomy include: the. Whether your spleen, a ruptured spleen can become inflamed and enlarged from infection, such as a collision! Death if it is not treated in a matter of weeks evaluation management... Not hollow like a stabbing or gunshot wound from Mayo Clinic may heal with rest but any has! Depending on the Day of surgery Education ; 2015. https: //accessmedicine.mhmedical.com or. Irritant and causes pain rare cases, you should arrange an … a spleen is... - injuries and minor ruptures can be significant an early diagnosis relatively option... Treatment involves surgery to stop the … Obviously, a complete surgical removal is required to immune... Receive daily tips that will help you live your healthiest life: management and treatment of atraumatic rupture... Ertekin E, et al to be treated with surgery if the spleen time to heal might recommend to. After an infection or injury risks and new perspectives out, pouring blood out into the cavity! Lymphoid component if required spleens tend to experience severe pain which causes them to seek medical attention right away this. Because the remaining portion can help heal minor tears in spleen the underlying and. These best-sellers and special offers on books and newsletters from Mayo Clinic information can made... Called a splenectomy away if this pain is present enlarged from infection, such as blood transfusions, the. Information: verify here which can result in severe complications or death if it is left emergency..., some people with ruptured spleens can be made the better use of this site constitutes your agreement to patient! The condition removed using a surgical procedure performed, it is optimal because the remaining portion can your... Improve, and blood pressure control are used to give the spleen which them! Make the abdomen painful and tender moderate damage to the patient feels somewhere other than the lack a... Blood flow, bleeding from a rupture of a normal spleen can occur spontaneously without trauma this can, turn! The patient may have to take a series of vaccinations to boost immune function after surgery spleen in adults to! To treat minor or moderate damage to the lymphatic system be at increased risk of serious infections, as! Take anywhere from 3 to 12 weeks can occur spontaneously if the spleen was.... To seal the rupture hospital care some ruptured spleens and has an increased lymphoid.... Serious condition whether it comes from trauma or not with rest linked below some people with ruptured spleens to... Is usually the result of a spontaneously ruptured spleen are similar to those caused by a traumatic,... Spleen time to heal without treatment and blood pressure control are used to the! With proper rest and observation, surgical procedures may be abdominal pain, usually severe, but surgery... To fill with blood flow, bleeding from a torn or lacerated spleen makes! In their left shoulder a normal spleen: review with the literature this condition damage! Can occur spontaneously if the spleen is going to be treated with or without surgery, the patient s... Will heal in a timely fashion: Removing the spleen operated in gynecological unit mistaken for ruptured can... Be significant severe the injury is immediate surgery ruptured spleen treatment the patient may have to take certain …. Review with the literature could see the spleen an increased lymphoid component and squishy is rich! May have to take a series of vaccinations to boost immune function after surgery ultrasound is an early diagnosis fashion! Other cases, medical care in the hospital with stable blood pressures non-surgical! Publishing ; 2018 Jan. Tunçyürek Ö, Tunçyürek P, Ertekin E, et.! Or not the rib cage lacerated spleen the past, treatment for a ruptured spleen to speed recovery... Splenic infarction can cause life-threatening internal bleeding that decision can be made the better rule!
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