Ruptured spleen

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Symptoms

By Mayo Clinic staff

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Image of ruptured spleen 
Ruptured spleen

Signs and symptoms of a ruptured spleen include:

  • Pain in the upper left portion of the abdomen
  • Tenderness when you touch the upper left portion of the abdomen
  • Lightheadedness
  • Confusion

When to see a doctor
A ruptured spleen is a medical emergency. If you have pain in the left upper abdomen or signs and symptoms that indicate internal bleeding — such as lightheadedness, confusion, blurred vision or fainting — after an injury, seek emergency medical care.

References
  1. Shurin SB. The spleen and its disorders. In: Hoffman R, et al. Hematology: Basic Principles and Practice. 5th ed. Philadelphia, Pa.: Churchill Livingstone; 2009. http://www.mdconsult.com/book/player/book.do?method=display&type=aboutPage&decorator=header&eid=4-u1.0-B978-0-443-06715-0..X5001-8--TOP&isbn=978-0-443-06715-0&uniq=210978719. Accessed Oct. 13, 2010.
  2. Landaw SA, et al. Approach to the adult patient with splenomegaly and other splenic disorders. http://www.uptodate.com/home/index.html. Accessed Oct. 13, 2010.
  3. Isenhour J, et al. General approach to blunt abdominal trauma in adults. http://www.uptodate.com/home/index.html. Accessed Oct. 13, 2010.
  4. Clinical policy: Critical issues in the evaluation of adult patients presenting to the emergency department with acute blunt abdominal trauma. Irving, Texas: American College of Emergency Physicians. http://www.acep.org/WorkArea/DownloadAsset.aspx?id=8808. Accessed Oct. 13, 2010.
  5. Practice management guidelines for the nonoperative management of blunt injury to the liver and spleen. Chicago, Ill.: Eastern Association for the Surgery of Trauma. http://www.east.org/tpg/livspleen.pdf. Accessed Oct. 13, 2010.
  6. Patient information for laparoscopic spleen removal (splenectomy) from SAGES. Society of American Gastrointestinal and Endoscopic Surgeons. http://www.sages.org/sagespublication.php?doc=PI12. Accessed Oct. 13, 2010.
  7. Schooley RT. Epstein-Barr virus infection. In: Goldman L, et al. Cecil Medicine. 23rd ed. Philadelphia, Pa.: Saunders; 2007. http://www.mdconsult.com/das/book/body/201609212-3/0/1492/0.html. Accessed Oct. 18, 2010.
DS00872 Nov. 19, 2010

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