A rupture occurs when a traumatic blow causes a break or tear in the surface of the spleen. In most cases, the tear results from a forceful blow, such as the impact of a car crash. A spleen rupture is considered a medical emergency and sometimes requires surgery and a hospital stay. Without treatment, the person could bleed internally, leading to shock and other life-threatening complications. Pain behind the left ribs or in the left shoulder are signs of a rupture. Some individuals also experience confusion, dizziness, fainting, and blurred vision.

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