Spleen, Surgery FAQ

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Can a Rib Injury from a Softball Impact Rupture the Spleen?

Hit by a ball on the left side of the ribcage? Hello, I was hit in the left side of my ribcage by a softball that bounced off the ground while playing softball. If my rib is not fractured, is it possible for my spleen to rupture from the impact? Or does the rib need to be fractur...


Dr. Chen Ronghong Reply:
Hello, a splenic rupture often accompanies left rib fractures; however, the absence of fractures does not guarantee that the spleen is unharmed. Therefore, it is important to be aware of the symptoms of splenic hemorrhage, which include hypotension (weakness and fatigue) or pain ...

[Read More] Can a Rib Injury from a Softball Impact Rupture the Spleen?


Monitoring Simple Spleen Cysts: Key Questions and Health Tips

Follow-up of simple splenic cysts? Good afternoon, Doctor. Thank you very much for your response to my previous questions. I have a few more questions regarding my ongoing condition. 1. Do cysts only continue to grow larger? What symptoms or size of the cyst should I be aware o...


Dr. Chen Bingze Reply:
Hello, 1. It may not necessarily grow larger; it could remain the same. It is recommended to regularly follow up with your attending physician, as they are most familiar with your condition. 2. This cyst should not have a significant impact on the liver. 3. You can maintain a...

[Read More] Monitoring Simple Spleen Cysts: Key Questions and Health Tips


Should You Remove a 5.4cm Spleen Cyst or Monitor It?

Splenic cyst Hello, due to a CA 19-9 level of over 300 from my health check-up, a CT scan was arranged and it revealed a splenic cyst measuring approximately 5.4 cm. Should it be surgically removed, or is it sufficient to monitor it monthly? Thank you, doctor.


Dr. Chen Bingze Reply:
Hello, the CT report should provide possible diagnoses, such as what the cyst resembles. You may want to consult your physician for further clarification. If there is a higher likelihood of malignancy, surgical removal is recommended. If the chances of it being benign are higher,...

[Read More] Should You Remove a 5.4cm Spleen Cyst or Monitor It?


Is It Safe to Use Contrast Agents After Spleen Removal?

Is it safe to administer contrast agents after a splenectomy? Dear Dr. Chen, My husband was involved in a serious car accident in April. Due to the force of the impact, he suffered from severe abdominal hemorrhage, which necessitated an emergency splenectomy. Additionally, he ha...


Dr. Chen Ronghong Reply:
Hello Smile, it is important to assess renal function before administering contrast agents, and most medical facilities routinely confirm that it is normal before proceeding. A history of splenectomy or pleural effusion does not pose additional risks.

[Read More] Is It Safe to Use Contrast Agents After Spleen Removal?


Can You Undergo Rhinoplasty After Spleen Removal?

Can a splenectomy be performed for rhinoplasty? Hello Doctor: Last month, I underwent a splenectomy due to a car accident. Prior to that, I had already planned to undergo rhinoplasty. However, after researching, I found that one of the contraindications for rhinoplasty is abnorma...


Dr. Lu Daokuan Reply:
In theory, it is not unfeasible, but it is important to inform the attending physician about the choice of surgical method, materials, and maintenance procedures.

[Read More] Can You Undergo Rhinoplasty After Spleen Removal?


Can You Get a Nose Job After Spleen Removal? Expert Insights

Can a splenectomy be performed for rhinoplasty? Hello Doctor: Last month, I underwent a splenectomy due to a car accident. I had already planned to have a rhinoplasty, but after researching, I found that one of the contraindications for the surgery is abnormal immune function. I ...


Dr. Lu Daokuan Reply:
In theory, it is not unfeasible, but it is important to inform the attending physician about the choice of surgical method, materials, and maintenance procedures.

[Read More] Can You Get a Nose Job After Spleen Removal? Expert Insights


Understanding Gallstones and Cholecystectomy: Key Questions Answered

Consultation for Gallstones and Cholecystectomy? Hello Dr. Yu, I have a family history of: 1. pancreatic cancer 2. hypertension 3. diabetes 4. gallstones. My personal medical history includes ultrasound findings of: 1. gallstones (one stone measuring 2.04 cm, while the CT sca...


Dr. Yu Mingchang Reply:
Hello: 1. Symptoms may not always be present; they vary from person to person. Upper abdominal cramping may occur due to individual digestive issues. 2. Laparoscopic cholecystectomy typically requires a hospital stay of 3 to 5 days. 3. The cost ranges from 30,000 to 50,000. 4. It...

[Read More] Understanding Gallstones and Cholecystectomy: Key Questions Answered


Post-Surgery Dietary Guidelines: Supplements and Foods to Avoid After Spleen and Pancreas Removal

After a splenectomy and distal pancreatectomy, it is generally advisable to consult with a healthcare professional regarding the use of dietary supplements. Some supplements may interact with medications or affect your health. Additionally, it is important to avoid certain foods ...


Dr. Chen Jiaming Reply:
Based on your description, it is unclear why you underwent splenectomy and distal pancreatectomy, so it is also unclear which organ your surgeon was referring to regarding the stones (gallstones? kidney stones? etc.). As for cranberry concentrate tablets, the purpose of your use ...

[Read More] Post-Surgery Dietary Guidelines: Supplements and Foods to Avoid After Spleen and Pancreas Removal


Should I Remove a 9cm Spleen Cyst Before Trying IVF?

9 cm splenic cyst? Today, it was found that I have a 9 cm splenic cyst (I had a laparoscopic drainage of an 11 cm cyst three years ago). I have been trying to get pregnant but have experienced multiple miscarriages. I am considering in vitro fertilization, but due to the size of ...


Dr. Xu Kaixi Reply:
If a splenic cyst has been drained three years ago and has recurred postoperatively, consideration can be given to repeat drainage or splenectomy. Regarding whether a splenic cyst affects in vitro fertilization, it is recommended to seek evaluation from an obstetrician. Theoretic...

[Read More] Should I Remove a 9cm Spleen Cyst Before Trying IVF?


Understanding Spleen Embolization: Function Loss and Diagnosis After Injury

Splenic embolization Recently, my daughter suffered a splenic rupture due to a car accident and was taken to the emergency department for an embolization procedure. The doctor mentioned that the spleen would gradually disappear. I would like to know if the spleen becomes nonfunct...


Dr. Li Zhonghuai Reply:
Hello! Generally, absorbable embolic materials are used, which will gradually dissolve over one to two weeks. Follow-up ultrasound will be conducted afterward. Take care! Changhua Hospital cares about you!

[Read More] Understanding Spleen Embolization: Function Loss and Diagnosis After Injury


Spleen and Partial Pancreas Removal: Pre-Op Vaccination and Care Guide

Regarding total splenectomy and partial pancreatic resection (30-40%) surgical issues? I am a 24-year-old male, non-smoker and non-drinker. My father has a history of diabetes. In October, I was diagnosed with a large cyst (approximately 13x10 cm) located between my spleen and pa...


Dr. Chen Jiaming Reply:
1. For emergency splenectomy, it is recommended to administer vaccinations two weeks post-surgery; for elective surgeries (scheduled), it is advised to administer vaccinations two weeks prior to the procedure. 2. The following individual vaccines are recommended: (a) Strep...

[Read More] Spleen and Partial Pancreas Removal: Pre-Op Vaccination and Care Guide


Understanding Spleen Calcifications: Causes, Concerns, and Management

Splenic calcifications Hello, Dr. Lee. Recently, during a company health check, I had an ultrasound that revealed calcifications in my spleen. The doctor advised me to monitor this condition. Can these calcifications gradually disappear with a normal lifestyle, such as regular ex...


Dr. Li Zhonghuai Reply:
Hello! The calcifications can be monitored. They will not disappear, so there is no need to worry. For acne on your face, avoid fried foods and sweets, and try to maintain a regular sleep schedule. Take care! Changhua Hospital cares about you!

[Read More] Understanding Spleen Calcifications: Causes, Concerns, and Management


Abdominal Impact: Should You Worry About Internal Bleeding?

Abdominal trauma I accidentally bumped into the edge of a table while operating a chair yesterday, and now I have a persistent feeling of bloating and pain in my abdomen (similar to the sensation of drinking too much water). However, I do not have any symptoms such as blood in ur...


Dr. Chen Jiaming Reply:
Abdominal contusion can commonly lead to intra-abdominal bleeding. Aside from high-speed, high-energy impacts (such as in car accidents), everyday household items typically require sharper or pointed impacts to have a higher chance of causing such injuries (like hitting a corner ...

[Read More] Abdominal Impact: Should You Worry About Internal Bleeding?


Post-Car Accident Splenic Rupture: Care Tips and Symptoms to Watch For

Splenic rupture after a car accident? I would like to ask about my care after a car accident where I suffered a ruptured spleen. The doctor opted for non-surgical treatment and only administered hemostatic agents. What should I do for home care, and what symptoms should I watch f...


Dr. Li Zhonghuai Reply:
Hello! It is advised not to engage in vigorous exercise for three months. If you experience bleeding or pain in the left lower back and abdomen, please return for follow-up if you have any discomfort. It is normal for the wound to be swollen and painful after the stitches are rem...

[Read More] Post-Car Accident Splenic Rupture: Care Tips and Symptoms to Watch For


Understanding Spleen Calcification: Causes, Risks, and Treatment Options

Splenic calcification Doctor, my health check-up showed splenic calcification, but I'm not sure how serious this is. What does calcification mean?


Dr. Li Zhonghuai Reply:
Hello! Regular follow-ups are sufficient. Take care! Changhua Hospital cares about you!

[Read More] Understanding Spleen Calcification: Causes, Risks, and Treatment Options


Understanding Colorectal Cancer Staging and Treatment: A Patient's Journey

Malignant tumor of the descending colon? Hello. I would like to ask the doctor about my mother's recent issues. 1. Due to long-term constipation, she was diagnosed with intestinal obstruction, and further examination revealed a tumor located 40 centimeters in the colon. A bi...


Dr. Chen Jiaming Reply:
First of all, each individual's tumor treatment will have its specific circumstances. You may need to accompany your mother to her outpatient appointment to confirm the questions you have raised one by one, rather than seeking advice from other doctors on this platform! The ...

[Read More] Understanding Colorectal Cancer Staging and Treatment: A Patient's Journey


Understanding Fresh Blood in Stool: Causes and When to Seek Help

Fresh blood in stool? Hello, I would like to ask about my husband. He has been experiencing bright red blood in his stool almost every 1-2 months, having several bowel movements a day, and now he cannot stop the bleeding. This has been ongoing for 3-4 years. He reports abdominal ...


Dr. Xu Kaixi Reply:
Rectal bleeding is an abnormal symptom. Based on your description, frequent and significant bleeding that has persisted for three to four years is more likely to be caused by hemorrhoids; however, other serious gastrointestinal diseases cannot be ruled out. It is recommended that...

[Read More] Understanding Fresh Blood in Stool: Causes and When to Seek Help


Understanding Splenic Embolization: Implications and Follow-Up Care

Splenic embolization? Dear Dr. Ke, I recently suffered a splenic rupture due to a car accident and was taken to the emergency room for an embolization procedure. The doctor mentioned that the spleen would gradually disappear. Is this true? Does performing an embolization on the s...


Dr. Ke Fangxu Reply:
The current mainstream treatment for splenic rupture is vascular embolization. Embolization refers to the process of blocking the blood vessels supplying the spleen to prevent further bleeding. In fact, the spleen does not disappear; it simply shrinks due to reduced blood supply....

[Read More] Understanding Splenic Embolization: Implications and Follow-Up Care


Managing a 7cm Spleen Cyst: Surgical Options and Alternatives

7 cm splenic cyst? Hello Dr. Tsai, my family member's recent health check-up report revealed a cyst on the spleen measuring 7 cm. We are currently discussing whether to proceed with a total splenectomy or a partial splenectomy, as there are also small cysts around the spleen...


Dr. Cai Xingzhi Reply:
For further details, please consult the surgical outpatient department. Thank you.

[Read More] Managing a 7cm Spleen Cyst: Surgical Options and Alternatives


Managing Splenic Cysts: To Remove or Not to Remove?

Splenic cyst My mother has 3 to 4 cysts in her spleen, with the largest measuring 13.5 cm. She has undergone abdominal ultrasound and CT scans at two major hospitals. One hospital advised that no immediate action is needed and suggested regular follow-ups, while the other recomme...


Dr. Xu Kaixi Reply:
It is advisable to consider monitoring first, with a follow-up ultrasound examination in three to six months. If there is an increase in size, surgical removal is recommended; otherwise, continued monitoring can be pursued.

[Read More] Managing Splenic Cysts: To Remove or Not to Remove?


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