What is splenic hematoma?
Splenic hematomas usually result from abdominal trauma or clotting disorders, or they occur in association with splenic neoplasia, such as hemangiosarcoma or lymphosarcoma. 7,8. Their location varies from intraparenchymal to subcapsular, and hemorrhage may be seen adjacent to the spleen.
What would a splenic injury present as?
The presentation of splenic injury depends upon associated internal hemorrhage. Patients may present with hypovolemic shock manifesting tachycardia, and hypotension. Other findings include tenderness in the upper left quadrant, generalized peritonitis, or referred pain to the left shoulder (Kehr’s sign).
Why is the spleen vulnerable to injury?
Sometimes a collection of blood (hematoma) forms under the covering of the spleen or deep within it. ) makes the spleen more susceptible to injury. When the spleen is injured, blood may be released into the abdomen. The amount of bleeding depends on the size of the injury.
Why is the spleen most commonly injured?
The spleen can rupture when the abdomen suffers a severe direct blow or blunt trauma. The spleen is the most frequent organ to be damaged in blunt trauma injuries involving the abdomen.
What is splenic hamartoma?
Splenic hamartoma is a rare benign vascular proliferative neoplasm characterized by CD8 immunopositivity of the vascular endothelial lining cells[1]. It is composed of an anomalous mixture of normal splenic elements, such as red and white pulp[2].
How do you treat a splenic hematoma?
Some people require immediate surgery. Others heal with rest and time. Many small or moderate-sized injuries to the spleen can heal without surgery. You’re likely to stay in the hospital while doctors observe your condition and provide nonsurgical care, such as blood transfusions, if necessary.
What is Perisplenic?
The perisplenic region is a complex area that includes the spleen and a network of peritoneal spaces and subperitoneal ligaments. These anatomic components influence the various pathologies and routes of disease spread in the perisplenic region.
How is splenic injury diagnosed?
Diagnosis
- Physical exam. Your doctor will press on your abdomen to determine the size of your spleen and whether it’s tender.
- Blood tests. Blood tests will evaluate factors such as platelet count and how well your blood clots.
- Checking for blood in your abdominal cavity.
- Imaging tests of your abdomen.
Can spleen hemangioma cause pain?
Hemangiomas are the most common benign primary neoplasm of spleen, yet they remain as a rare disorder. Less than 100 cases have been reported so far. The average age of presentation is 63 years. Most of the patients are asymptomatic, rest of the patients presenting with pain and a lump in the abdomen.
Can an injured spleen heal on its own?
In mild splenic ruptures, the spleen can heal itself with rest and time. Physicians may recommend hospitalization during recovery to monitor the condition and provide supportive care. Follow-up CT scans can show progress and determine whether any additional measures are needed.
Which of the following findings is indicative of splenic injury or rupture?
The main symptom of a ruptured spleen is severe pain in the abdomen, especially on the left side. The pain may also be referred to (felt in) the left shoulder, and can make breathing painful. Other symptoms, which are associated with a decrease in blood pressure due to internal bleeding, include: Feeling lightheaded.
What are the symptoms of splenic hemangioma?
Splenomegaly, abdominal pain, dyspnea, diarrhea or constipation can be the presenting feature in few cases. A hematologic clue to the existence of splenic hemangioma may present as unexplained consumptive coagulopathy caused by platelet trapping.