A bruised spleen involves bruising that occurs after direct impact to the upper left abdominal region. It can occur after a fall or vehicular accident. Remember that this injury is not considered as severe as laceration of the spleen.
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The spleen is in the upper left region of the abdomen. The organ varies in shape and size but usually fist-shaped, purplish and around 4 inches in size. It is protected by the rib cage and could not be easily felt unless it is abnormally large.
What are the indications of a bruised spleen?
- Immediate pain upon impact
- Pain or discomfort on the left side of the abdomen
- Pain might be referred to the left shoulder or arm
- Tenderness
- Nausea
It is vital to monitor for other significant symptoms such as alterations in the heart rate, blood pressure, confusion or unconsciousness since these show a more severe injury.
Management
Once an individual is suspected with a bruised spleen, it is vital to seek immediate medical attention.
The doctor will perform an assessment and necessitate further testing such as CT scan or ultrasound to determine the extent of the injury and if there is any internal bleeding. In most cases of a bruised spleen, they heal properly on their own if there are no other complications.
Adequate rest and monitoring must be carried out and hospitalization so that the individual is closely monitored. Remember that bleeding from the spleen might not be detected initially. This is the reason why further testing is performed after 1-2 days to confirm that it is a contusion.
Quick Note / Disclaimer
The material posted on this page on a bruised spleen is for learning and educational purposes only. To learn to recognize and manage internal injuries, register for a first aid and CPR course with Ottawa First Aid.