This is usually the result of ignoring an enlarged spleen for too long. 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. 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. In: StatPearls [Internet]. 0 comment . Some emergency conditions involve immediate surgical repair. In this surgery, the surgeon will remove a portion or all of the injured spleen. 7th ed. Once this diagnosis is confirmed, some of the first steps and treatment include: Placing an IV and giving intravenous fluids to support blood pressure. Send thanks to the doctor. Liu J, et al. The abdominal muscles contract reflexively and feel rigid. 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. It could even be a sign that your spleen has been ruptured. Others heal with rest and time. What Medical Conditions Affect the Spleen? Malays J Med Sci. Blunt trauma is the type of trauma that does not directly penetrate the skin, like a stabbing or gunshot wound. In some cases, you may have bruised skin over the injured area. Make a donation. Gastroenterology Research and Practice. 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. Updated April 2017. Dr. Jon Krook answered. For patients that come to the hospital with stable blood pressures, non-surgical treatment is very successful.. The best treatment option for a spleen tumor is surgery. This content does not have an Arabic version. Thank you, {{form.email}}, for signing up. "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. Malaria is another infectious disease associated with a ruptured spleen. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. 3 thanks. This condition involves damage to the spleen which causes the organ to start leaking blood, causing the abdomen to fill with blood. Treatment for Ruptured Spleen. Tests and procedures used to diagnose a ruptured spleen include: Treatment for a ruptured spleen will depend on the severity of your condition. Chiotoroiu AL, Venter DM, Negoi I, et al. View 1 more answer. If you are unsure, you should arrange an … If the spleen is removed, the patient may have to take a series of vaccinations to boost immune function after surgery. Splenic implant assessment in trauma. 2014;19:324. Partial splenectomy includes preserving of at least 1/4th of the tissue and also avoiding any chance of … Medications for pain control, which could include narcotics or opiates. Mayo Clinic does not endorse companies or products. It can also become enlarged as a result of a health condition, such as cirrhosis, leukaemia or rheumatoid arthritis. 3 months: It depends on how badly the spleen was damaged. causes abdominal pain, usually severe, but not always. 2017;2(1):e000075. 24 years experience General Surgery. Treatment for a ruptured spleen will depend on the severity of your condition. 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.. Ultrasound is an option but still cannot rule out a ruptured spleen adequately. The spleen is also in the area, and a ruptured spleen might lead to these nerves becoming irritated. A doctor will conduct splenectomy where the spleen is removed using a surgical procedure. Further interventions may be needed to manage the bleeding of a ruptured spleen. Ⓒ 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. Treatment of a ruptured spleen depends on the severity of the case. In some cases of non surgical care of ruptured spleen … A ruptured spleen is a medical condition which can result in severe complications or death if it is not treated in a timely fashion. how long does it take a ruptured spleen to heal without treatment? All of the circulation of blood and lymph through the spleen makes it a prime candidate for bleeding if injured. Some people require immediate surgery. The ruptured spleen is generally heavier than are control spleens and has an increased lymphoid component. Accessed April 12, 2019. You're likely to stay in the hospital while doctors observe your condition and provide nonsurgical care, such as blood transfusions, if … 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. Sometimes, if the spleen was injured, it may heal with rest. Spontaneous rupture of the spleen operated in gynecological unit mistaken for ruptured hemorrhagic ovarian cyst: total splenectomy. By using Verywell Health, you accept our, Splenectomy: What to Expect on the Day of Surgery. Uptodate.com. 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. 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). It's considered a solid organ, meaning it's not hollow like a bladder or a stomach. An enlarged spleen. 2019;2019:1. https://doi.org/10.1155/2019/5827694. © 1998-2021 Mayo Foundation for Medical Education and Research (MFMER). Diagnosis of non-traumatic type of splenic rupture is difficult, as the symptoms of splenic rupture are similar to … Chirurgia (Bucur). Most spleen damage is due to traumatic injury, but it can occur spontaneously if the spleen is inflamed or diseased. Patients with ruptured spleens tend to experience severe pain which causes them to seek medical treatment. Since the spleen is so rich with blood flow, bleeding from a rupture can be significant. Lemons also provide nutrients to the spleen to speed up recovery. The spleen can become inflamed and enlarged from infection, cancer, or other diseases. Management of splenic injury in the adult trauma patient. Surgery for a ruptured spleen can include: Removing the spleen (splenectomy). You need emergency treatment to repair or remove the spleen. Many small or moderate-sized injuries to the spleen can heal without surgery. Treasure Island (FL): StatPearls Publishing; 2018 Jan. Tunçyürek Ö, Tunçyürek P, Ertekin E, et al. 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