Enlarged Spleen - Complications

What complications did you have with an enlarged spleen?

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What complications are associated with an enlarged spleen?

Perhaps the most important worry with an enlarged spleen is the risk of injury as it grows beyond the protection of the rib cage. A minor injury may cause it to fracture and bleed. Spleen injuries are often treated by observation, but on occasion, the spleen can rupture causing life-threatening internal bleeding.

All types of blood cells may become trapped in a large spleen. Anemia (low red blood cell count) may cause weakness, fatigue, dizziness, shortness of breath, and chest pain. Thrombocytopenia (low platelet count) may be associated with an increased risk of bleeding. Leukopenia (low white blood cell count) may be associated with an increased risk of infection.

Should the spleen need to be removed, the risk of certain infections increases, and the patient who undergoes splenectomy will need to make certain that their immunizations are up to date, especially against pneumococcus, meningococcus and haemophilus influenzae.

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