(Spleen Removal; Removal, Spleen)
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Trauma to the spleen
- Spleen rupture due to tumor, infection, inflammatory condition, or medicines
- Enlargement of the spleen (splenomegaly)
- Certain blood disorders
- Myelofibrosis (abnormal formation of fibrous tissue in the bone marrow)
- Damage in the blood vessels of the spleen
- Leukemia or lymphoma
- Diseased spleen, due to disorders like HIV infection
- Tumor or abscess in the spleen
- Liver disease
What to Expect
Prior to Procedure
- Physical exam
- Blood and urine tests
- Review of medicines
- X-rays of abdomen—a test that uses radiation to take a picture of structures inside the body
- CT scan—a type of x-ray that uses a computer to make pictures of the inside of the body
- Ultrasound—a test that uses sound waves to visualize the inside of the body
- Electrocardiogram (ECG, EKG)—a test that records the heart's activity by measuring electrical currents through the heart muscle
- Other tests to evaluate spleen enlargement
- Studies to determine rate of destruction of red blood cells and/or platelets
- Give you vaccines against some infections (Without your spleen, you will be more susceptible to certain infections.)
- Aspirin or other anti-inflammatory drugs
- Blood thinners, such as clopidogrel (Plavix) or warfarin (Coumadin)
Description of Procedure
Immediately After Procedure
How Long Will It Take?
Will It Hurt?
Average Hospital Stay
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Replace any wet dressings with clean, dry ones.
- For minor pain, take only medicine that does not have aspirin.
- Avoid vigorous activity (exercise, heavy lifting, etc).
- Avoid driving for about six weeks, or as directed by your doctor.
- Make sure you get all the vaccines that your doctor recommends.
- Be sure to follow your doctor’s instructions.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision site
- Cough , shortness of breath, chest pain, or severe nausea or vomiting
- New, unexplained symptoms
American Academy of Family Physicians http://familydoctor.org
National Institutes of Health http://www.nih.gov
Canadian Family Physician http://www.cfpc.ca
Canadian Paediatric Society http://www.cps.ca
Health information. The Cleveland Clinic website. Available at: http://my.clevelandclinic.org/health/default.aspx. Accessed June 25, 2008.
Lymphoma Association. Lymphoma Association website. Available at: http://www.lymphoma.org.uk/. Accessed June 25, 2008.
Sabiston DC Jr. Textbook of Surgery. 17th ed. Philadelphia, PA: WB Saunders Co.; 2004.
10/9/2009 DynaMed's Systematic Literature Surveillance http://dynamed.ebscohost.com/about/about-us: Renzulli P, Hostettler A, Schoepfer AM, Gloor B, Candinas D. Systematic review of atraumatic splenic rupture. Br J Surg. 2009;96:1114-1121.
- Reviewer: Marcin Chwistek, MD
- Review Date: 09/2012 -
- Update Date: 00/91/2012 -