Rib fractures, pelvic fractures, and spinal cord injuries can occur as a result of blunt trauma to the abdomen. These types of injuries indicate a possibility of a spleen rupture as well. If there is internal bleeding, the patient may require removal of the spleen -- a splenectomy. In less severe ruptures, a surgeon will repair the tear through splenic embolization to stop the bleeding. In recent years, however, doctors have been able to avoid surgery in 95 percent of children’s cases and 60 percent of adult cases. Instead, doctors treat the rupture in stable patients with observation and blood transfusions.

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