![]() This is a method to rapidly determine if blood is gathering in the abdominal area. It can be used to help diagnose a ruptured spleen in unstable patients, but studies have found CT to be better in an emergency setting.ĭiagnostic peritoneal lavage. This is an ultrasound method to check for blood in the abdominal area. ![]() They include:įocused abdominal sonographic technique (FAST). In these cases, other tests may be used to help diagnose a spleen rupture. ![]() Other people are allergic to CT contrast or cannot receive it because their kidneys do not work properly. They would have a quick ultrasound, and then go straight to surgery if bleeding is detected. For this reason, a CT scan is not recommended for those with a spleen rupture who have unstable vital signs or low blood pressure due to the injury (suggesting shock). A CT scan with contrast may take awhile, and some people with spleen ruptures have died while waiting to have the test done. However, a CT scan of the abdomen may only be done if time allows. Active bleeding from the spleen may not be seen on the CT scan without contrast. The contrast helps the doctor determine the amount of bleeding from the spleen. During the test, a special substance, called contrast, is injected into a vein, usually in the arm. A computed tomography (CT) scan of the abdomen is one of the most common methods used. Imaging tests are needed to diagnose a ruptured spleen. Sudden low blood pressure in someone who is believed to have a spleen injury, particularly a young person, is a sign that the condition is especially severe, and emergency surgery is needed. If there has been a great deal of blood loss from the spleen, the patient may have low blood pressure and a rapid heart rate. The abdominal area may feel hard and look swollen (distended) because it has filled with blood. The doctor will do a physical exam and ask about the patient's medical history and feel their belly area. Signs of shock, including restlessness, anxiety, nausea, and paleness.Internal bleeding caused by the ruptured spleen can cause blood pressure to drop. Left shoulder, because nerves of the left shoulder and left side of the diaphragm originate from the same location and the rupture may irritate these nerves.Left side of the abdomen under the rib cage.The severity and even the location of the pain depend on how badly the spleen has ruptured and how much blood leaks out. Blood (hematological) diseases such as hemolytic anemia and certain types of lymphomaĪ ruptured spleen causes abdominal pain, usually severe, but not always.In some cases, a ruptured spleen is the first sign of the illness. This makes the organ especially fragile and more likely to rupture if the abdomen receives a direct hit.ĭiseases that increase the risk for a ruptured spleen include: In such cases, the spleen becomes swollen and the capsule-like covering becomes thin. Bicycle accidents, such as falling into your bicycle's handlebarsĬertain diseases and illnesses can also lead to a ruptured spleen.Injury during contact sports, such as football and hockey.The following are among the frequent causes of spleen injuries: The spleen is the most frequent organ to be damaged in blunt trauma injuries involving the abdomen. The spleen can rupture when the abdomen suffers a severe direct blow or blunt trauma. Your doctor may refer to a ruptured spleen as a "splenic rupture." What Causes a Ruptured Spleen? Depending on the size of the rupture, a large amount of internal bleeding can occur. What Is a Ruptured Spleen?Ī 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. This tissue, called the splenic capsule, helps protect the spleen from direct injury. The spleen also makes red blood cells and helps remove, or filter, old ones from the body's circulation.Ī layer of tissue entirely covers the spleen in a capsule-like fashion, except where veins and arteries enter the organ. It contains special white blood cells that destroy bacteria and help your body fight infections. The spleen is a delicate, fist-sized organ under your left rib cage near your stomach.
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