The spleen is a small organ that lies immediately beneath the ribcage on the left side of the abdomen. As part of the immune system, the spleen helps produce immune cells while also removing toxic substances from the bloodstream. People who sustain a punctured or ruptured spleen following severe trauma, such as a car accident or knife wound, should be evaluated by a medical professional immediately to prevent serious complications.
Abdominal Pain
The most common symptom associated with a punctured spleen is abdominal pain, MayoClinic.com reports. Sensations of pain generally localize to the upper left region of the abdomen, which is where the spleen is located inside the body. Abdominal pain occurs when blood from the punctured spleen leaks into the abdominal cavity, irritating and inflaming the surrounding organs. A doctor may also notice that a person's abdominal region feels hard or rigid to the touch.
Left Shoulder Pain
Blood that leaks from a punctured spleen can irritate a person's diaphragm, the large muscle that separates the chest and abdominal cavities. If this occurs, sharp pain may be felt at the tip of the left shoulder, BBC Health reports.
Blurred Vision, Dizziness or Fainting
Internal blood loss caused by a punctured spleen can lead to a significant decrease in a person's blood pressure. People who experience hypotension can develop blurred vision, confusion or dizziness, according to The Merck Manuals Online Medical Library. These symptoms of a punctured spleen may be most apparent when a person attempts to stand, and fainting or loss of consciousness may occur. People who experience these symptoms after sustaining an abdominal injury should seek immediate medical care. Internal bleeding can be life threatening if left untreated.
