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. Signs and symptoms:
• Pain in the upper left portion of the abdomen
• Tenderness when you touch the upper left portion of the abdomen
• Lightheadedness and confusion.
Treatment for a ruptured spleen will depend on your condition. Some people with ruptured spleens require immediate surgery. In other situations, a ruptured spleen may heal with rest and time. Many small and many moderate-sized injuries to the spleen can heal without surgery. You're likely to stay in the hospital while doctors observe your condition and provide nonsurgical care, such as blood transfusions, if necessary.
Your doctor may recommend periodic follow-up CT scans to ensure that your spleen has healed.
Surgery for a ruptured spleen can include: The surgeon may be able to repair the rupture in the spleen with stitches. Surgery to remove part of the spleen. If the spleen is ruptured in a way that makes it possible to remove only a portion of it, your surgeon may perform a procedure called a partial (splenectomy). You don't need a spleen to survive. But being without your spleen increases your risk of serious infections. Your doctor may recommend ways to reduce your risk of infection.