Two-stage rupture of the spleen (preparation after splenectomy)
A splenic rupture is a trauma of the spleen, which causes a tear in the tissue surrounding it. It is a common form of injury.
ICD10-Code: S36.0
The injury might just be a slight bruising of the organ with formation of an edema. It might also cause massive hemorrhage in the abdomen.
The maximal form of a splenic rupture would be a tear in the capsule surrounding the organ as well as the parenchyma and additionally torn vessels. Another form is the torn parenchyma while the capsula is still intact. 5 different types are described:
One can also differentiated by clinical features into:
The therapy depends on the clinical presentation. It may be just conservative treatment (type 1) with i.v. fluids or blood transfusion and monitoring.
Surgery is performed mainly – especially in children and adolescents- to keep the spleen. Local coagulation (using electrocoagulation, fibrin or infrared light) can be used.
Additionally a net inlay can be used to stop the blood loss. Type 4 and 5 can usually only be treated through splenectomie or resection of a part of the spleen.