Tests and procedures used to diagnose a ruptured spleen include:

  • Physical exam. Your doctor will use his or her hands to place pressure on your abdomen to determine the size of your spleen and whether you're experiencing any abdominal tenderness.
  • Blood tests. Your doctor will order blood tests to evaluate factors such as platelet count and how well your blood clots.
  • Checking for blood in your abdominal cavity. Your doctor may use an ultrasound test to do this. Or he or she may use a needle to draw a sample of fluid from your abdomen. If the sample reveals blood in your abdomen, you may be referred for emergency treatment.
  • Imaging tests of your abdomen. If your diagnosis isn't clear, your doctor may recommend an abdominal CT scan or another imaging test to identify or rule out other possible causes of your symptoms.
Aug. 23, 2017
  1. AskMayoExpert. Splenectomy. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015.
  2. AskMayoExpert. Splenic injury. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015.
  3. Yeo CJ, et al., eds. Management of splenic trauma in adults. In: Shackelford's surgery of the alimentary tract. 7th ed. Philadelphia, Pa.: Elsevier Saunders; 2013.
  4. Brunicardi FC, et al., eds. Spleen. In: Schwartz's Principles of Surgery. 10th ed. New York, N.Y.: McGraw-Hill Education; 2015. http://www.accessmedicine.com. Accessed Feb. 5, 2016.
  5. Taner T, et al. Splenectomy for massive splenomegaly: Long-term results and risks for mortality. Annals of Surgery. 2013;258:1034.
  6. Bartlett A, et al. Splenic rupture in infectious mononucleosis: A systematic review of published case reports. Injury. In press. Accessed Feb. 5, 2016.
  7. Khasawneh MA, et al. Post-splenectomy sepsis in children: A 48-year population-based study. Journal of the American College of Surgeons. 2015;221:S106.
  8. Polites SF, et al. Benchmarks for splenectomy in pediatric trauma: How are we doing? Journal of Pediatric Surgery. 2015;50:399.
  9. Barbara Woodward Lips Patient Education Centers. Splenectomy: Spleen removal. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014.
  10. Goldman L, et al., eds. Approach to the patient with lymphadenopathy and splenomegaly. In: Goldman-Cecil Medicine. 25th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. http://www.clinicalkey.com. Accessed Feb. 5, 2016.
  11. Marx JA, et al., eds. Abdominal trauma. In: Rosen's Emergency Medicine: Concepts and Clinical Practice. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2014. http://www.clinicalkey.com. Accessed Feb. 9, 2016.
  12. Rubin LG, et al. Care of the asplenic patient. New England Journal of Medicine. 2014;371:349.
  13. Edgren G, et al. Splenectomy and the risk of sepsis: A population-based cohort study. Annals of Surgery. 2014;260:1081.