Spleen Disorders

Signs and Symptoms

The spleen is a sponge-like organ, located below the stomach, which can produce red blood cells and store and filter blood. Because these are functions performed primarily by other organs, the body can usually manage quite well without the spleen if it becomes diseased.

A variety of chronic illnesses, such as hereditary spherocytosis or idiopathic thrombocytopenic purpura, may make it necessary to remove your child's spleen. Spleen removal is called splenectomy. Splenectomy is rarely an emergency and can be scheduled at a time that is convenient for your family. There are specific requirements regarding immunizations and blood work that may be needed prior to this operation. Please check with your child's hematologist prior to surgery.

Diagnosis

Spleen disorders are diagnosed and treated by a pediatric hematologist or blood specialist. The methods and diagnosis and treatment are many and vary with the specific problem.

Treatment

In most cases, a splenectomy can be performed laparoscopically by a pediatric surgeon using a small telescope and miniature instruments placed through Band-Aid size incisions on the abdomen. The operation is completed in two to three hours. Your child will stay in the hospital for two to three days. During hospitalization, your child will receive intravenous fluids, antibiotics and pain medication. As soon as your child feels well enough he or she will be allowed to eat and drink and take pain medication orally, usually within two to three days after surgery.