Splenic Injury & Rupture
Causes, Symptoms & Emergency Surgical Management
Advanced Trauma & Emergency Care in Thane – By Dr. Ankur Bhanushali
What Is a Splenic Injury?
A splenic injury occurs when the spleen is damaged due to trauma or medical conditions, leading to bleeding inside the abdomen. The spleen plays a key role in blood filtration and immunity, and injury to it can quickly become life-threatening.
Early recognition is crucial.
Role of the Spleen in the Body
The spleen is responsible for:
✔ Filtering old and damaged blood cells
✔ Supporting immune function
✔ Fighting infections
✔ Storing platelets
Damage affects immunity and circulation.
Common Causes of Splenic Injury
Splenic injuries commonly result from:
✔ Road traffic accidents
✔ Falls from height
✔ Sports-related trauma
✔ Assault or blunt abdominal injury
✔ Medical conditions causing splenic enlargement
Trauma is the leading cause.
Risk Factors for Splenic Rupture
Higher risk is seen in:
✔ Patients with enlarged spleen
✔ Infectious diseases (malaria, mononucleosis)
✔ Blood disorders
✔ Severe abdominal trauma
✔ Contact sports participants
Enlarged spleens rupture more easily.
Types of Splenic Injuries
Based on severity:
✔ Splenic contusion
✔ Subcapsular hematoma
✔ Laceration
✔ Complete splenic rupture
Severity determines treatment.
Symptoms of Splenic Injury
Symptoms may include:
✔ Left upper abdominal pain
✔ Pain radiating to left shoulder
✔ Abdominal tenderness
✔ Dizziness or fainting
✔ Drop in blood pressure
Symptoms may worsen rapidly.
Why Splenic Injury Is Dangerous
If untreated, it can lead to:
✔ Massive internal bleeding
✔ Hemorrhagic shock
✔ Organ failure
✔ Death
Prompt intervention saves lives.
Emergency Warning Signs
Seek immediate care if:
✔ Severe abdominal pain develops after trauma
✔ Sudden weakness or collapse occurs
✔ Rapid heart rate is present
✔ Blood pressure falls
Do not delay emergency evaluation.
Diagnostic Evaluation
Diagnosis involves:
✔ Physical examination
✔ FAST ultrasound
✔ CT scan abdomen
✔ Blood tests to assess bleeding
CT scan determines injury grade.
Non-Surgical Management
Stable patients may be treated with:
✔ Close monitoring in ICU
✔ Bed rest
✔ Blood transfusion if needed
✔ Serial imaging
Spleen preservation is preferred when safe.
When Is Surgery Required?
Emergency surgery is needed if:
✔ Patient is unstable
✔ Ongoing internal bleeding occurs
✔ Splenic rupture is confirmed
✔ Non-operative management fails
Surgery can be lifesaving.
Surgical Treatment Options
Depending on condition:
✔ Splenectomy (removal of spleen)
✔ Partial splenectomy
✔ Repair of splenic laceration
Procedure depends on injury severity.
Life After Splenectomy
Post-splenectomy care includes:
✔ Vaccinations against infections
✔ Long-term infection prevention
✔ Patient education
✔ Regular follow-up
Proper care ensures safe recovery.
Post-Treatment Recovery
Recovery includes:
✔ ICU monitoring
✔ Gradual mobilization
✔ Nutritional support
✔ Infection surveillance
Recovery is closely supervised.
Possible Complications
Complications may include:
✔ Re-bleeding
✔ Infection
✔ Blood clots
✔ Reduced immunity
Early follow-up reduces risks.
Trauma Care at Aayush Multispeciality Hospital
Hospital facilities include:
✔ 24×7 trauma and emergency services
✔ Advanced imaging and ICU
✔ Blood bank support
✔ Experienced surgical team
Comprehensive trauma care under one roof.
Why Choose Dr. Ankur Bhanushali?
✔ Expertise in emergency and trauma surgery
✔ Rapid assessment and intervention
✔ Evidence-based treatment
✔ Patient-focused ethical care
Trusted surgeon for critical emergencies in Thane.
Aayush Multispeciality Hospital – Full Address
📍 1st Floor, Marigold Apartment
Almeda Road, Panch Pakhdi,
Thane West – 400602,
Maharashtra, India
📞 +91 86910 33033
🌐 https://drankurbhanushali.com
📍 Google Maps: https://maps.app.goo.gl/3Msc7YZqVkV9mQMQ7
Dr. Ankur Surgical Clinic – Full Address
📍 Shop No. 4, Laxmi Krupa Building
Edulji Road, Charai,
Thane West – 400602,
Maharashtra, India
📞 +91 86910 33066
🌐 https://bestsurgeoninthane.com
📍 Google Maps: https://maps.app.goo.gl/XmmGNbgFyhGcqfvV6
