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Causes
By Mayo Clinic staffA ruptured spleen is typically caused by a blow to the left upper abdomen or the left lower chest. Sporting mishaps, fist fights and car accidents are common triggers. An injured spleen may rupture soon after the abdominal trauma or, in some cases, days or even weeks after the injury.
An enlarged spleen — which may be caused by various underlying problems, from mononucleosis and other infections to liver disease and blood cancers — may sometimes rupture with trauma to the abdomen. In fact, a ruptured spleen is the most significant complication of mononucleosis.
- Laparoscopic spleen removal (splenectomy). The Society of American Gastrointestinal and Laparoscopic Surgeons. http://www.sages.org/sagespublication.php?doc=PI12. Accessed Sept. 21, 2008.
- Spleen injury. The Merck Manuals Medical Online Library: Home Edition for Patients and Caregivers. http://www.merck.com/mmhe/sec14/ch179/ch179c.html. Accessed Sept. 21, 2008.
- Mononucleosis. American Academy of Family Physicians. http://familydoctor.org/online/famdocen/home/common/infections/common/viral/077.html. Accessed Sept. 21, 2008.
- Splenectomy. American Academy of Family Physicians. http://familydoctor.org/online/famdocen/home/articles/655.printerview.html. Accessed Sept. 21, 2008.
- Indications for splenectomy. National Guideline Clearinghouse. http://www.guideline.gov/summary/summary.aspx?doc_id=5505. Accessed Sept. 21, 2008.
