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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Detect Spleen Injury?

My son was injured at work while working on a tour bus. He was between the wheel and the frame checking on a problem when his employer turned the steering wheel and nearly crushed him. He was taken to an ER where they did blood work, ct scans of the spleen and abdomen with contrast, etc. Since then however, he has been in extreme pain and had to be rushed back to the ER yesterday. They ran more tests said everything was fine....gave him some pain medication and sent him home. He is not fine. I am concerned there is injury to his spleen that is not showing up on the CT. Is that possible?
Tue, 20 May 2014
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General & Family Physician 's  Response
Hello,

My opinion is that you should not worry about it now unless the diagnosis is confirmed. As there is low chance of spleen injury, when not identified with CT scan abdomen.

CT scan abdomen with a thorough examination will help your doctor to diagnose spleen injury.

It is possible that pain your son experiencing is due to other injuries he has sustained.

Spleen injury and spleen rupture may lead to bleeding into abdominal cavity.
Hence you can keep monitoring your son for symptoms such as giddiness, increased heart rate, difficulty breathing. If symptoms appear seek medical attention.

Hope I have answered your query. If you have any further questions I will be happy to help.

Thank you,
Dr. Narasimha G L
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How To Detect Spleen Injury?

Hello, My opinion is that you should not worry about it now unless the diagnosis is confirmed. As there is low chance of spleen injury, when not identified with CT scan abdomen. CT scan abdomen with a thorough examination will help your doctor to diagnose spleen injury. It is possible that pain your son experiencing is due to other injuries he has sustained. Spleen injury and spleen rupture may lead to bleeding into abdominal cavity. Hence you can keep monitoring your son for symptoms such as giddiness, increased heart rate, difficulty breathing. If symptoms appear seek medical attention. Hope I have answered your query. If you have any further questions I will be happy to help. Thank you, Dr. Narasimha G L