Ruptured Spleen

The spleen is located in the upper left part of the abdomen and its rupture is the most common cause of death among players with abdominal injuries. The injury may result from a direct blow to the abdomen. Rupture can also occur, rarely, in cases of fractured ribs.

Cause

Trauma to the left upper abdomen or ribcage

Presentation

  • Pain in left upper abdomen or left shoulder tip
  • Nausea
  • Sweating
  • Pallor
  • Drowsiness
  • Loss of consciousness

Diagnosis

  • CT scan

Management

Transfer to hospital immediately

Precautions

Players who have had infectious mononucleosis (glandular fever) recently are more at risk of their spleen rupturing.