Does a ruptured spleen require surgery?
Does a ruptured spleen require surgery?
Treatment for a ruptured spleen will depend on the severity of your condition. Some people require immediate surgery. Others heal with rest and time. Many small or moderate-sized injuries to the spleen can heal without surgery.
How serious is a ruptured spleen?
A ruptured spleen occurs when the surface of this organ is injured, which can lead to internal bleeding. A ruptured spleen can potentially be life-threatening if it is not treated quickly. The spleen is an organ about the size of a fist, located in the left upper abdomen, near the stomach.
What are the chances of surviving a ruptured spleen?
The risk of death of intrathoracic bleeding by the spleen rupture is 45 times higher than of intraabdominal. The degree of splenic injury poorly correlates with the traumatic mechanism and the hemoperitoneum volume. The chances of the immediate death is considerably low (OR 0.09; 95% CI 0.0096-0.84; p<0.017).
Why would you need surgery on your spleen?
The spleen is an organ that sits under your rib cage on the upper left side of your abdomen. It helps fight infection and filters unneeded material, such as old or damaged blood cells, from your blood. The most common reason for splenectomy is to treat a ruptured spleen, which is often caused by an abdominal injury.
What are the signs of a ruptured spleen?
Signs and symptoms of a ruptured spleen include:
- Pain in the upper left abdomen.
- Tenderness when you touch the upper left abdomen.
- Left shoulder pain.
- Confusion, lightheadedness or dizziness.
Can a spleen rupture on its own?
Background: Splenic rupture is a potentially life-threatening condition, often associated with chest or abdominal trauma. Spontaneous rupture is very rare and is usually reported as being secondary to underlying pathological conditions.
How long does a spleen surgery take?
Removing the spleen takes 2 to 4 hours. It is usually done through one (1) or more very small incisions (cuts) in the belly. This makes recovery faster and less painful than for surgery with one (1) big incision. Your child will likely spend 1 or 2 days in the hospital and then go home to rest and finish recovering.
What happens if a ruptured spleen goes untreated?
Symptoms of a ruptured spleen can include left-side abdominal pain, referred left shoulder pain, lightheadedness, confusion, dizziness, and blurred vision. Some individuals may also experience hemorrhagic shock as a result of massive blood loss. A ruptured spleen can be life-threatening if not treated promptly.
Should I go to the hospital if my spleen hurts?
When to see a doctor A ruptured spleen is a medical emergency. Seek emergency care after an injury if your signs and symptoms indicate that you may have a ruptured spleen.
How long can you go with a ruptured spleen?
Generally, recovery from a ruptured spleen can take anywhere from 3 to 12 weeks, depending on the severity and treatment. To promote healing, rest is encouraged, along with refraining from high-impact exercise, strenuous activities, and heavy lifting until physician approval.
What causes a spleen to rupture?
A ruptured spleen is typically caused by a blow to the left upper abdomen or the left lower chest, such as might happen during sporting accidents, fistfights and car crashes. An injured spleen can rupture soon after the abdominal trauma or, in some cases, days or weeks after the injury. An enlarged spleen.
Can a spleen grow back?
Unlike some other organs, like the liver, the spleen does not grow back (regenerate) after it is removed. Up to 30% of people have a second spleen (called an accessory spleen). These are usually very small, but may grow and function when the main spleen is removed.
Does an enlarged spleen hurt to touch?
A painful spleen Spleen pain is usually felt as a pain behind your left ribs. It may be tender when you touch the area.
How long is hospital stay for spleen surgery?
After the Procedure You or your child will spend less than a week in the hospital. The hospital stay may be only 1 or 2 days after a laparoscopic splenectomy. Healing will likely take 4 to 6 weeks. After going home, follow instructions on taking care of yourself or your child.
Is spleen surgery painful?
After a splenectomy, you are likely to have pain for several days. You may also feel like you have influenza (flu). You may have a low fever and feel tired and nauseated.
Is it easy to rupture your spleen?
The spleen can rupture when the abdomen suffers a severe direct blow or blunt trauma. The spleen is the most frequent organ to be damaged in blunt trauma injuries involving the abdomen. That’s true regardless of your age.
Can you live a long life without a spleen?
You can live without a spleen. But because the spleen plays a crucial role in the body’s ability to fight off bacteria, living without the organ makes you more likely to develop infections, especially dangerous ones such as Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae.
Is splenectomy a disability?
38 C.F.R. § 4.7. Under Diagnostic Code 7706, a splenectomy warrants a 20 percent disability rating. This diagnostic code also provides the instruction to rate complications such as systemic infections with encapsulated bacteria separately.
Can you rupture your spleen by coughing?
Ninety-three percent of the so-called “spontaneous splenic ruptures” are associated with histopathologically altered spleens . Spontaneous splenic rupture has been reported after trivial insults such as vomiting and coughing. We report a case of spontaneous rupture of a normal spleen after “coughing fits”.
Is spleen pain an emergency?
A ruptured spleen is a medical emergency. Seek emergency care after an injury if your signs and symptoms indicate that you may have a ruptured spleen.
Can u live without a spleen?
Some people are born without a spleen or need to have it removed because of illness or injury. The spleen is a fist-sized organ in the upper left side of your abdomen, next to your stomach and behind your left ribs. It’s an important part of your immune system, but you can survive without it.
How easy is it to rupture your spleen?
What should I do if I have a ruptured spleen?
If your diagnosis isn’t clear, your doctor might recommend an abdominal CT scan, possibly with contrast dye, or another imaging test to look for other possible causes of your symptoms. Treatment for a ruptured spleen will depend on the severity of your condition. Some people require immediate surgery. Others heal with rest and time.
When to use a larger incision for spleen removal?
When the laparoscopic approach is not possible due to variations in the condition of the spleen and/or anatomical issues During emergency surgery, when the spleen has ruptured: The larger incision allows the surgeon to better view the area and for bleeding to be controlled more quickly.
What causes a spleen to rupture on the left side?
Injuries to the spleen can be caused by: Diseases that can increase the risk of splenic rupture include: Cancers, such as lymphoma, that lead to an enlarged spleen What are the symptoms of a ruptured spleen? The main symptom of a ruptured spleen is severe pain in the abdomen, especially on the left side.
How long to wait after a splenectomy surgery?
Talk to your doctor about how long to wait until resuming your daily activities. If you had laparoscopic surgery, it may be two weeks. After open surgery, it may be six weeks. If you had splenectomy due to a ruptured spleen, further treatment usually isn’t necessary.
How will my doctor diagnose a ruptured spleen?
- Physical exam. Your doctor will press on your abdomen to determine the size of your spleen and whether it’s tender.
- Blood tests. Blood tests will evaluate factors such as platelet count and how well your blood clots.
- Checking for blood in your abdominal cavity.
- Imaging tests of your abdomen.
What is the healing time for a ruptured spleen?
There are, however, very limited opportunities for these options. A person should not return to full-intensity exercise until around 3 months after treatment. After a spleen is either repaired or removed, recovery can take a few weeks.
What are the side effects of a spleen rupture?
Signs and symptoms of a ruptured spleen include: Pain in the upper left abdomen. Tenderness when you touch the upper left abdomen. Left shoulder pain, particularly if you also have cuts and bruises on the left chest or side. Confusion, lightheadedness or dizziness.
What happens when your spleen ruptures?
A ruptured spleen is an emergency medical condition that occurs when the capsule-like covering of the spleen breaks open, pouring blood into your abdominal area. Depending on the size of the rupture, a large amount of internal bleeding can occur. Your doctor may refer to a ruptured spleen as a “splenic rupture.”.