Spleen Injury (Splenic Trauma)

What are the signs and symptoms of a spleen injury?

The most common signs and symptoms of splenic trauma happen after there has been trauma to the abdomen, and include:

• Pain on the left side of the body (especially left-sided abdominal or back pain and left lower chest pain)
• Nausea
• Vomiting
• Fatigue and weakness

What tests are used to diagnose splenic trauma?

At Children’s Hospital Colorado, we diagnose splenic trauma using imaging tests that allow us to see the spleen:

• FAST Ultrasound
• CT scan of abdomen/pelvis
• MRI (less commonly)

We use advanced imaging equipment to get the most accurate results. Our equipment is designed with children in mind, so we can minimize the time they spend being scanned and they’re more comfortable during the scans.

In addition to state-of-the-art technology, our radiologists, nurses and doctors are trained to work with children and interpret their imaging tests.

How do we make a diagnosis of splenic trauma?

The pictures produced by imaging tests show us whether there is any injury to the spleen and how severe it is. Imaging tests can also show us whether there is blood in the abdominal cavity, which helps determine the severity of the injury. We may also use blood tests to see whether there is continued bleeding and whether your child needs a blood transfusion.

How are spleen injuries treated?

Treatment for splenic trauma varies depending on the severity of the injury and whether there is continued bleeding from the spleen. Most splenic injuries can be treated with close observation and no operation. These patients stay in the hospital for at least a few days, until it’s safe to go home.

In severe cases where the spleen continues to bleed, our experts may recommend surgical treatment that involves removing the spleen, but this is rarely needed. Occasionally, bleeding from the spleen can be treated with an embolization, which is a procedure to block blood vessels to prevent bleeding.

Why choose us to treat splenic trauma?

Children’s Colorado is the only Level 1 Trauma Center in the Rocky Mountain region. Our splenic injury treatment is based on the most up-to-date science and provided by an expert team specialized in treating children.