A bruised spleen involves damage due to direct impact to the upper left abdomen. This injury can occur after a vehicular accident or a fall. Remember that this is not considered as a severe injury as laceration of the spleen.
The spleen is positioned in the left upper far region of the abdomen at the left of the stomach. The organ varies in shape and size but it is usually shaped as a fist, purplish in color at around 4 inches long. Since it is protected by the rib cage, it could not be felt unless it has grown abnormally large. When it comes to the functions of the spleen, it has a supporting role that helps filter blood as part of the immune system. In addition, it also fights certain bacteria responsible for meningitis and pneumonia.
Indications of a bruised spleen
- Immediate pain upon impact
- Nausea
- Localized pain or discomfort in the left side of the abdomen
- Referred pain to the left arm or shoulder
- Tenderness
It is vital to monitor for severe symptoms such as changes in the heart rate, blood pressure as well as confusion and loss of consciousness. If these are present, it indicates a serious injury.
Management
Once an individual is suspected with a bruised spleen, it is essential to consult a doctor as soon as possible.
The doctor will conduct an assessment and might require further testing such as CT scan or ultrasound to determine the severity of the injury and if there is any internal bleeding.
In most cases, a bruised spleen eventually heals over time if there are no other complications. Adequate rest and monitoring are vital but hospitalization is usually recommended for close monitoring.
It is important to note that bleeding from the spleen is not initially detected thus further tests are required after 1-2 days to confirm if it is only a contusion.
More Information / Disclaimer
The information posted on this page on a bruised spleen is for learning purposes only. Learn to recognize and manage internal injuries including a bruised spleen by taking a standard first aid course with Saskatoon First Aid.