Infectious mononucleosis and other Epstein-Barr virus-associated diseases. Hospitalization and 24-hour care are often sufficient to treat minor or moderate damage to the spleen. Treasure Island (FL): StatPearls Publishing; 2018 Jan. Chiotoroiu AL, Venter DM, Negoi I, Vartosu C, Plotogea O, Paun S, Vartic M, Beuran M; -. Medications for pain control, which could include narcotics or opiates. New York, N.Y.:McGraw-Hill Education; 2015. https://accessmedicine.mhmedical.com. doi:10.1136/tsaco-2017-000075. Diagnosis and treatment of atraumatic splenic rupture: Experience of 8 cases. 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. 3 months: It depends on how badly the spleen was damaged. Trauma Surg Acute Care Open. Zarzaur B, Rozycki G. An update on nonoperative management of the spleen in adults. For patients that come to the hospital with stable blood pressures, non-surgical treatment is very successful.. As such, you can expect to feel considerable pain in this area if your spleen has ruptured. Michael Menna, DO, is board-certified in emergency medicine. In some cases, if Red Blood Count (RBC) is too low, then the pet needs blood transfusion before or after surgery. 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 . This is a relatively recent option and is not always available. Its consistency is more like a small version of the liver. A ruptured spleen refers to bleeding into the abdominal cavity from a torn or lacerated spleen. Partial splenectomy includes preserving of at least 1/4th of the tissue and also avoiding any chance of … Treatment of a ruptured spleen depends on the severity of the case. 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.. 2019;2019:1. https://doi.org/10.1155/2019/5827694. Obviously, a ruptured spleen caused by a traumatic injury cannot be prevented. Others heal with rest and time. 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. You might have periodic follow-up CT scans to check whether your spleen has healed or to determine whether you need surgery. 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. 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. An enlarged spleen also increases the risk for a dysfunctional and ruptured spleen. Close monitoring, bed rest, and blood pressure control are used to give the spleen time to heal. Accessed April 12, 2019. Updated April 2017. Won A, Ethell A. Spontaneous splenic rupture resulted from infectious mononucleosis. This can, in turn, lead to the patient feeling pain in their left shoulder. 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).. Further interventions may be needed to manage the bleeding of a ruptured spleen. What Medical Conditions Affect the Spleen? It can also become enlarged as a result of a health condition, such as cirrhosis, leukaemia or rheumatoid arthritis. Close monitoring, bed rest, and blood pressure control are used to give the spleen time to heal. Some cases may be managed without surgery. Doctors monitor the patient’s condition and provide nonsurgical care, such as blood transfusions, if required. The spleen is also in the area, and a ruptured spleen might lead to these nerves becoming irritated. Treasure Island (FL): StatPearls Publishing; 2018 Jan. Tunçyürek Ö, Tunçyürek P, Ertekin E, et al. Treatment options vary depending on the severity of the condition and can include rest and observation, surgical repair, or splenectomy. Treatment for a ruptured spleen will depend on the severity of your condition. 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… 2019;9(4):152. doi:10.3390/diagnostics9040152. In some cases, you may have bruised skin over the injured area. This is pain that the patient feels somewhere other than where the injury is located. The treatment involves surgery to stop the … A ruptured spleen is a medical emergency that occurs as a result of a break in your spleen's surface. Chemotherapy may be helpful if the malignant tumor has spread to other body parts. Lemons contain citric acid that helps to treat spleen problems by removing dead cells and bacteria. Considering trauma is the fourth leading cause of death, that indicates a lot of ruptured spleens and livers. How Is a Ruptured Spleen Treated? The spleen can become swollen after an infection or injury. Hospitalization. The spleen is then cut away from the other structures of the body. 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. Make a donation. View 1 more answer. Usual ... Read More. It could even be a sign that your spleen has been ruptured. If you could see the spleen, it looks purple and squishy. Treatment of a bruised spleen Treatment for a bruised spleen depends on how severe the injury is. Hospitalization while the spleen heals. Gastroenterology Research and Practice. Treatment of ruptured spleen generally depends on the nature of the condition. The best treatment option for a spleen tumor is surgery. 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. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2018. What to Expect on the Day of Your Exploratory Laparotomy. Int J Surg Case Rep. 2012;3(3):97-99. doi:10.1016/j.ijscr.2011.08.012. By using Verywell Health, you accept our, Splenectomy: What to Expect on the Day of Surgery. Signs and symptoms. All of the circulation of blood and lymph through the spleen makes it a prime candidate for bleeding if injured. Treatment of splenomegaly is targeted at treating the underlying disease and protecting the patient from complications of splenomegaly itself. Once this diagnosis is confirmed, some of the first steps and treatment include: Placing an IV and giving intravenous fluids to support blood pressure. 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… If that does not help in spleen cure, a complete surgical removal is required. A ruptured spleen is a medical condition which can result in severe complications or death if it is not treated in a timely fashion. Some emergency conditions involve immediate surgical repair. There are two main types of treatment for a ruptured spleen: Surgical intervention and observation. Chirurgia (Bucur). What Are the Symptoms of Internal Bleeding? 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. Some people require immediate surgery. Go straight to A&E if you think you have ruptured or damaged your spleen. Pathological rupture of the normal spleen: Review with the literature. Individuals who undergo a total splenectomy may need to take certain medications … Splenic Rupture: In some cases, splenic infarction can cause rupture of the spleen and hemorrhage. 2014 Nov-Dec;109(6):731-40. Spontaneous rupture of the spleen operated in gynecological unit mistaken for ruptured hemorrhagic ovarian cyst: total splenectomy. Mayo Clinic does not endorse companies or products. Hoffman R, et al. Dr. Jon Krook answered. The rupture of a normal spleen can be caused by trauma, such as a traffic collision. MSD Manual Consumer Version. Since the spleen is so rich with blood flow, bleeding from a rupture can be significant. The treatment will focus on addressing the underlying cause of the pain. A ruptured spleen happens when the capsule covering the spleen surface breaks out, pouring blood out into the abdominal area. A ruptured spleen can be life-threatening if not treated promptly. Malaria is another infectious disease associated with a ruptured spleen. 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. A ruptured spleen can be caused by a trauma or blow in the abdomen. 2017;2(1):e000075. DOI:10.11604/pamj.2014.19.324.5749. The abdominal muscles contract reflexively and feel rigid. A rupture of the spleen will need surgery to remove it. 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