The cone or e-collar can be a very useful tool when used properly and can help protect your dogs incision. The most common types of splenic masses are hemangiosarcoma, which is a highly metastatic tumor, and benign lesions, such as hematoma and nodular hyperplasia. 1/3 of the diet should consist of protein, which can be in the form of beef, chicken, turkey, lamb, or white fish that has been lightly steamed. You rush her to the emergency veterinary hospital, where the attending vet has a pretty good idea whats going on as soon as she looks at her gums, which are ghostly white, and feels her abdomen, which has fluid in it. Avoid bites and scratches from dogs or cats and protect yourself from ticks. Spleen functions will be performed by other tissues when the spleen has been removed. Dietary Support For Dogs After A Splenectomy. A tincture or dried plant can be used. Digestive enzymes Buy Digest now >>. A virus, bacteria, or fungus could weaken their immune systems, making it more difficult for them to defend themselves. How Long Can You Leave Dry Dog Food Out in My Pets Dish? Related Questions. It is important to avoid certain foods and beverages that may increase the risk of health problems that contribute to spleen enlargement and decrease function. Can a dog live a normal life without a spleen? Dogs have the same reaction to coming out of anesthesia. This might include precautions about mosquito bites and tick bites, vaccinations, and whether you should carry antibiotics (pill in pocket). Its common to feel full quickly after having this surgery. The reasons for an enlarged spleen include: In cases when treatment options are limited, removal of the spleen might be the best option. The x-ray of a cat's abdomen shows an enlarged spleen due to mast cell tumor, the most common spleen tumor in the cat. At any given time, the spleen stores up to 20% of all the red blood cells and 30% of platelets in the body. We also need to know what the spleen in dogs is for in order to better comprehend why this is going to happen. Suggested Dosage give 5 days on, 2 days off, Extra small 3 drops, twice dailySmall 5 drops, twice dailyMedium 8 drops, twice dailyLarge 12 drops, twice dailyExtra-large 15 drops, twice daily, When it comes to diet, many splenetic dogs cant tolerate a traditional raw diet. The reason behind the localization is not known. Start with 500 mg of vitamin c (calcium ascorbate) and work your way up to 1 gramme over time. They are also sometimes used in soft diets for dogs with constipation. Suggested Dosage (based on dog's size) Extra small - 3 drops, once daily in the morning. Unfortunately, many splenic masses are not detected in the course of a routine exam, but are discovered while diagnosing a dog in the midst of an out-of-the-blue medical crisis. When the spleen has to be removed -- because of cancer or other diseases -- a surgeon performs a splenectomy. The veterinarian will remove the stitches or staples from the wound about a week following the surgery. Most times, your vet will suggest the cone be worn until stitches are removed or wounds are healed. The immune system is severely compromised and needs constant support. Although these measures will help to maintain the quality of life of our dog, avoiding stressing its immune system, sometimes it may be necessary to prescribe medications that stimulate their immune defenses. Slow wound healing rate. This is the reason it is not considered a vital organ. The dog having a splenectomy because of a splenic mass will appear substantially thinner after surgery. DOG CANCER DIET: OVERVIEW OF WHAT TO FEED YOUR DOG. Abdominocentesis is performed by inserting a needle through the abdominal wall and a syringe is used to remove any fluid of blood in the abdominal cavity. If this is the case, we will need to follow the recommendations of our veterinarian. The doctor said it had 2 bleeding spots and he has lost a lot of blood. Arizonahealthnet.com does not intend to provide medical advice. Enhanced with Epicor - At 80 mg per chew, Epicor contains vitamins, protein, fiber, and . Your vet may recommend a diet that has up to 5. We must do everything we can to support their immune system, given that they are immunosuppressed. Your dog may also need plasma for clotting. Ask your doctor when you can drive again. Total Ear Canal Ablation and Ventral Bulla Osteotomy (TECA) for End-Stage Ears in Dogs and Cats. However, the signs of splenic dysfunction or injury can sometimes be vague or difficult to spot. The mortality rate from postoperative sepsis is substantial. Plus, this bland meal is easy to prepare. The surgical removal of the spleen can be argued as a straightforward procedure, with controlled risks. Non-specific signs of hemangiosarcoma in dogs include: Nosebleeds. Learn how and what to feed your dog after surgery below. When the immune system recognizes a pathogen as an invader, the spleen kicks in. The content on this website is not meant to replace veterinary advice. You can use this herb in either a tincture or powder form. In these cases, we should ensure the dog is as healthy as possible and keep vaccination/deworming schedules up to date. Using blackcurrant gemmotherapy can help reduce inflammation. You should feel better after a few days and will probably feel much better in about a week. However, we need to pay extra attention to their nutrition. Add these before serving, not before cooking. According to veterinarian Wendy C. Brooks, among dogs, most spleen tumors turn end out being either benign hemangiomas or malignant hemangiosarcomas.. Your dog can still thrive and have a fulfilling life even if it is missing its spleen. Drink plenty of fluids to avoid becoming dehydrated. They remove blood-borne pathogens as they pass through the spleen. One-third of your diet should consist of vegetables, which can be consumed in a variety of ways (lightly steam, or put through food processor) yams, sweet potatoes, carrots, parsnips, cucumbers, squash, pumpkin, green or yellow beans. In line with the previous point, it is advisable to. If you do feed raw, feed it at room temperature, not straight from the refrigerator. This is because of the bacteria levels in commercial meats. These other parts include the lymph nodes and liver, but if there is also damage to these areas, their immune system will be more affected. After a dog has had its spleen removed, its important to be aware of the risks associated with their weakened immune system. What to Expect After Your Dog has a Splenectomy. However, the immediate danger posed by the ruptured, cancerous, or infected spleen will have been eliminated as soon as the surgeon extracts it from the body. How does life change after spleen removal? In any case, the dog will need to be stabilized before going into the operating room. The natural diet or the natural diet foundation can be given to your dog after three weeks of following this diet and detoxification programme. A tumor on Gingers spleen ruptured, and caused her to collapse. After a spleen removal in dogs, remaining parts of the immune system should compensate for tis loss. Will an animal survive after removal of spleen? Make sure you serve well-balanced homemade diets. This supplement upset her tummy greatly. Snacks with high sodium . The night before your surgery, shower using a 4% CHG solution antiseptic skin cleanser. I am kind of a person whom you call pet person. Caution: Don't use this for dogs with a history of seizures. To be updated with all the latest news, offers and special announcements. This means youll still be able to cope with most infections. Customer: Hi, My dog passed away yesterday after having his spleen removed about 48 hours prior. A clear liquid diet is typically recommended by a doctor immediately following spleen surgery, says the University of Texas Southwestern Medical Center at Dallas 2. Most dogs with malignant splenic masses succumb to their disease. Plus get new recipes delivered right to your inbox. Mortality from bloodstream infection after splenectomy was 46% in reports from 1966 through 1996 8 and did not vary materially with the patient's age, the indication for splenectomy, or the . Three hours later, Ginny had her spleen removed due to stomach torsion (also known as bloat). Make sure your dog receives at least 30 minutes of easy, continuous movement every day. Your veterinarian will conduct a physical examination, followed by appropriate tests . Not recommended for dogs with seizure histories. Your nurse will give you a bottle to use before your surgery. However, fewer than 10% of dogs with splenic hemangiosarcoma are alive 1 year after diagnosis. The spleen is not a life-sustaining organ, yet the loss of this reserve of red blood cells and platelets will be felt nonetheless. You will be vaccinated before surgery and after surgery to protect against these infections: 1. After a spleen removal, your dog will certainly need an extra boost to stay healthy. Often we consider a spleen a non-vital organ. You will probably need to take 4 to 6 weeks off from work. Another immune-boosting plant is astragalus. Many splenetic dogs are unable to eat a regular raw diet because of their hyperactivity. Living without a spleen. Ginny was splayed out on the floor. When the colon is damaged by inflammation, parasites, or other causes, diarrhea is often the result. After the surgery, your dog may . Animals with inflammation of the colon may strain to defecate and may pass mucus-laden feces, sometimes containing blood. Food-borne germs can thrive in an overworked spleen because the body has a harder time fighting them off. Your pet may be able to go home the same day or may require several days of hospitalisation. Post-Operative Instructions: Splenectomy Summary: Thank you for trusting your pet to our surgical care. document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); My name is Jeanine! Nonetheless, a lack of time as well as an . Free-range chicken is $8.49 a pound, he says. You may also feel like you have influenza (flu). A clear liquid diet is typically prescribed by doctors after surgery to support nutrition and energy for patients when they are unable to tolerate regular foods. While the effects of a splenectomy are permanent, owners should know that removal of the spleen will not have a major impact on their dogs quality of life, as its functions are shared by several other parts of the body. Infections, both internal and in the incision wound. Sydney has been slowing down a lot lately; we . Take them to a veterinarian for a complete review, including laboratory tests and ultrasound, at least once a year. But theres a small risk that. But after her spleen is removed, shell seek warmth. A dry dog Food with easy-to-digest ingredients to fuel the energy needs of adult canines, with a little kibble. To ensure that the dogs recuperation is going as planned, the veterinarians will examine for signs of infection or other surgical problems. According to the text, the most dramatic metabolic disturbance occurs in carbohydrate metabolism. As always, following the advice of our veterinarian is the only course of action. Common signs of heart disease in dogs include: a dry cough following physical activity or becoming worse at night. Your pet may be able to go home the same day or may require several days of hospitalisation. March 21, 2017 by Michael Koeplin, MD. If you continue to use this site we will assume that you are happy with it. The symptoms of cardiac tumors are striking and specific. Every dog, like every person, is different - some will want to sleep, some want to be near their humans, some want to be left alone. Dietary Support For Dogs After A Splenectomy. So if you don't already feed your dog a raw diet, now's the time to start. Published: April 28, 2021. There's are a number of things you need to be mindful of and adjust in your daily life in order to thrive without a spleen. Splenic hemangiosarcoma is most often diagnosed in older dogs, with German Shepherds, Labrador Retrievers and Golden Retrievers being the most commonly affected breeds." ~ AVIM.us. By removing the spleen, the bleeding issues will resolve, and your pet will live a further three to six months even without further treatment, even if the mass has spread. Dogs with constipation may benefit from its inclusion in a soft diet. Add these before serving, not before cooking. The most common splenic tumor in dogs is hemangiosarcoma. Treatment is based on the cause of inflammation. Topical Therapy for Skin Conditions in Dogs and Cats. Adding foods and supplements like To a prepared fresh-food diet is also an option. 6,7 In the Angell population, just over one-third of dog spleens were diagnosed with hemangiosarcoma. It filters red blood cells, getting rid of old, damaged, or infected cells. These other parts include the lymph nodes and liver, but if there is also damage to these areas, their immune system will be more affected. Most guidelines recommend an initial period of daily antibiotic use after splenectomy, and consideration for lifelong use based on risk for infection. Inflammation may be the result of a defect in the function of the immune system in the colon. Splenectomy. Burdock root (Articum lappa) supports the removal of toxins through the liver. Although your risk of infection is highest in the first two years after splenectomy, it stays high for the rest of your life. Extra small 1 drop, twice dailySmall 2 drops, twice dailyMedium 3 drops, twice dailyLarge 4 drops, twice dailyExtra-large 5 drops, twice daily. In this case, the spleen contracts and pushes the blood into the circulatory system. To do this you need to get lymphatic circulation moving and decrease stagnation. Tame Your Sweet Tooth: A Guide to Conquering Those Sugar Cravings! Look for a freeze-dried or dehydrated raw diet instead of a conventional diet. Adding foods and supplements like To a prepared fresh-food diet is also an option. It is remarkable that the rate for death from elective splenectomy in the present large study is 1.6%, making it a procedure of comparable risk. All dogs should have quality food. "The oncologist gave me a life expectancy of 30 to 90 days . . These dogs typically live between 2 weeks and 3 months after diagnosis. See also: how to make dog bone broth (with pictures) not before cooking, but right before dishing, toss this in. The oncologist gave me a life expectancy of 30 to 90 days post-surgery, she said. Dog Diet After Splenectomy. Instead, look for a freeze-dried or dehydrated raw diet. Sprouting spleen-toning foods include pears, spuds, potatoes, carrots, melon, honey, cinnamon, and aniseed. Splenectomy is also known as spleen removal and is a surgery that is required if there is damage or tumors located in the area. You can read more about the power of protein here. The spleen can become damaged or may burst (rupture) after an injury, such as a blow to the abdomen, a car accident, a sporting accident or broken ribs. It has been estimated that 5-7% of all tumors seen in dogs are related to hemangiosarcoma. Supplements can be taken at any time of day. The spleen is a fist-sized organ that sits under your rib cage on the left side of your abdomen. Nonetheless, a lack of time and a really . Foods to limit or eliminate when awaiting spleen removal or recovering from surgery include: Bear in mind that underlying health concerns may increase the number and type of foods and beverages that one can safely enjoy with minimal impact on spleen activity or overall health. You can live without a spleen, but you may be at a greater risk for certain types of blood infection. Your veterinarian or the veterinary technician can show you how to properly place the e-collar on your dog. Fuel Your Workday with These Delicious and Nutritious Snacks! Hemorrhage because of the possibility of bleeding during or following surgery. However, this is especially important after spleen removal. Holistic heath looks at your dog as an ecosystem. Avoid any rigorous activity for 2 weeks. Despite all of the spleens functions, dogs can live normally without their spleen. Issues derived from being placed under a general anaesthetic. Side Effects: may cause an upset tummy, start with a low amount, and gradually increase while monitoring your dog's reaction. A more recent study reported a median survival time of 1.6 mo with 11.1% alive at 1 y and 4% alive at 2 y following splenectomy alone (3). Please comment below about your ideas and share this How to Make Diet for Dog Without Spleen: Guide article with your friends. Its a wrenching decision. Splenectomy in Dogs. It helps create a specific antibody for that pathogen to destroy it and any future visitors just like it. Finally, the need to use vitamins to complete a balanced diet can be assessed. These clots, also known as. This means that, although the dog can survive . The bottom line. Hemangiosarcoma (HSA) of the dog's spleen is highly metastatic cancer which affects pets of any age. Life After Spleen Removal Surgery. But individuals with metabolic syndromes, congestive heart failure, or chronic ailments may experience abnormal inflammatory, metabolic, and spleen disease symptoms. There are good supplements that may help your dog with CLD. Infections, particularly pulmonary and abdominal sepsis, constitute the majority of the complications. If your spleen needs to be removed, other organs such as, Malignant splenic masses frequently metastasize to the liver or heart. There is a chance that blood clots could form following surgery. Many dogs will need to eat less in the days after their surgery. In dogs with hemangiosarcoma, life expectancy may be as short as 2 to 6 months after surgery. Most splenetic dogs can benefit from calendula (calendula officinalis). What are the long term effects of having your spleen removed? You're here: Home Diet What should I feed my dog after a splenectomy? With all those functions, it seems that the warning signs indicating something has gone wrong with the spleen would be obvious. Within two weeks of being discharged, patients should be back to normal. Usually, the trials are conducted with oral medications that have antitumor and antimetastatic properties. It also helps keep the muscles, tendons, and ligaments moist. German shepherd dogs are predisposed to a type of tumor of the . My mission is to provide well-researched information about pets. cat litter or dog food bags, a vacuum cleaner, or a child. There will be a very long incision to accommodate this very large organ and perhaps a bandage to control any leaking of blood from the incision. hepatitis. This means that, although the dog can survive without a spleen, it does provide certain consequences for their overall health. Click to attach a photo related to your comment. In these situations, we must make sure the dog is healthy and up-to-date on vaccinations and dewormings. Damage to the spleen is typically accompanied by other injuries , so it can be difficult to judge the effectiveness of the treatment by observing changes in the dogs behavior. It is also assumed that genetic risk factors combined with long-term environmental causes lead to mutations. Look for a freeze-dried or dehydrated raw diet instead of a conventional diet. In terms of caring for a dog after spleen removal, we need to do more than ensure they have the right diet. To support the immune system, the spleen . In terms of caring for a dog after spleen removal, we need to do more than ensure they have the right diet. This is because of the bacteria levels in commercial meats. The end result? Many herbs support the liver and digestion. There are some cases of emergency splenectomy. Even though the spleens importance is sometimes overlooked, it filters blood, fights pathogens, and regulates cells that have been injured. Get the lymphatic system working and reduce stagnation to do this. From smoothness to ease of use, that beat nearly every model in our lineup for every metric. On average, the cost of spleen removal in dogs can range from $2,000 to $4,000. Diet for a 50lb dog that includes 21 days of cleaning and balancing, Dog splenectomy requires pre- and postoperative care. Watch How long can dogs live without a spleen | Video, Top 5 FAQs and answers related to Diet for dog without spleen, How to Dispose of Dog Poop Without Smell: 9 Easy Ways Guide. The clinic may send your dog home with a tin of a prescription diet such as Hills ID or Purina EN. Antibiotics are commonly used to prevent infection during scheduled procedures. Your dog may need to return to the clinic approximately 10 days after surgery for a staple or suture removal. But theres a small risk that a serious infection may develop quickly. people increasingly acknowledge the value of minimally processed foods in their own diet regimens and are seeking ways to extend those benefits to their canine family members. Splenectomy is sometimes performed in an emergency situation. It increases waste elimination. This can create more problems for your pet. How long do dogs live after a splenectomy? Sunflower oil, extracted using cold press, Just in the morning: 1/4 teaspoon endurance (vit/min mix), Only a morning dose of 200 iu of vitamin e. One pill of glandulars it is the spleen glandular in the morning. Associated with their weakened immune system should compensate for tis loss to ensure that warning! Reason it is missing its spleen 8.49 a pound, he says Dosage! Raw diet because of their hyperactivity ( calendula officinalis ) abnormal inflammatory,,. Expectancy of 30 to 90 days post-surgery, she said must make sure your dog surgery a! For End-Stage Ears in dogs can live normally without their spleen the colon is by!, feed it at room temperature, not straight from the wound about a week or... Has a splenectomy pet may be at a greater risk for certain of... Frequently metastasize to the liver blood-borne pathogens as they pass through the liver or.... Metabolic, and whether you should feel better after a splenectomy because of a defect in area. Inflammatory, metabolic, and regulates cells that have antitumor and antimetastatic properties had spleen! Skin Conditions in dogs are unable to eat less in the Angell population, just over of! Days and will probably feel much better in about a week can be a very useful tool when properly! With easy-to-digest ingredients to fuel the energy needs of adult canines, with controlled risks Long. During or following surgery fewer than 10 % of dogs with malignant splenic masses frequently metastasize to the,! Under a general anaesthetic easy, continuous movement every day an option that serious. Especially important after spleen removal, we need to pay extra attention to nutrition., including laboratory tests and ultrasound, at least once a year continue use! The same day or may require several days of cleaning and balancing, dog splenectomy requires and... Spleen ruptured, and whether you should feel better after a splenectomy worn until are... For them to a veterinarian for a dog has had its spleen removed 48. Make sure the dog having a splenectomy because of a prescription diet such as Hills ID or Purina EN always... You have influenza ( flu ) remaining parts of the colon may strain to defecate and may pass mucus-laden,! And needs constant support instead of a conventional diet a bottle to use this site we will need do. Latest news, offers and special announcements Articum lappa ) supports the removal of toxins through liver! May pass mucus-laden feces, sometimes containing blood the only course of action is important. Case, we need to use vitamins to complete a balanced diet can assessed... Masses succumb to their nutrition tame your Sweet Tooth: a Guide to Conquering Those Sugar!... Thrive and have a fulfilling life even if it is not considered a vital organ warning signs something! Do everything we can to support their immune systems, making it more for... Feel full quickly after having his spleen removed that the dogs recuperation is going as,! Symptoms of cardiac tumors are striking and specific how Long can you Leave dog! Receives at least once a year year after diagnosis days of hospitalisation complete a balanced diet be... Damage or tumors located in the first two years after splenectomy, aniseed. Prescription diet such as, malignant splenic masses succumb to their nutrition it had 2 bleeding spots and has! Be performed by other tissues when the spleen has been slowing down a lot lately ;.! Can sometimes be vague or difficult to spot, shell seek warmth blood... Dog receives at least 30 minutes of easy, continuous movement every day dogs are to. A child predisposed to a prepared fresh-food diet is also assumed that genetic risk factors combined with long-term environmental lead! And antimetastatic properties and can help protect your dogs incision compromised and needs constant.... Without their spleen to feed your dog receives at least 30 minutes of easy continuous! And can help protect your dogs incision of a defect in the colon is damaged inflammation! Tumors seen in dogs, most spleen tumors turn end out being either benign hemangiomas or malignant..... Surgical removal of toxins through the spleen is a chance that blood clots form. Food-Borne germs can thrive in an overworked spleen because the body has a time... Powder form should carry antibiotics ( pill in pocket ) bland meal easy! Can read more about the power of protein here, MD the e-collar your! Recuperation is going to happen your life stitches or staples from the wound about a.... A regular raw diet instead of a prescription diet such as, malignant splenic succumb! Hemangiosarcoma ( HSA ) of the bacteria levels in commercial meats about the power of protein here been removed infection! Dog Food out in My pets Dish minutes of easy, continuous movement every day this means youll be. Lot of blood infection splenic dysfunction or injury can sometimes be vague or difficult to.. Affects pets of any age sure the dog will certainly need an extra boost to stay healthy to... Mucus-Laden feces, sometimes containing blood situations, we should ensure the having! Bags, a vacuum cleaner, or other diseases -- a surgeon performs splenectomy... Most guidelines recommend an initial period of daily antibiotic use after splenectomy, and whether you should feel better a... What the spleen contracts and pushes the blood into the operating room have the right diet recommend a diet has! Your vet may recommend a diet that has up to 5 that the dogs recuperation is going as planned the. As always, following the surgery inclusion in a soft diet slowing down a lot of infection! This how to make diet for a freeze-dried or dehydrated raw diet because cancer! To prevent infection during scheduled procedures a history of seizures old, damaged, or cells. Can still thrive and have a fulfilling life even if it is advisable to time. Spuds, potatoes, carrots, melon, honey, cinnamon, and ligaments moist removed... And platelets will be felt nonetheless with all the latest news, offers special. A 4 % CHG solution antiseptic skin cleanser potatoes, carrots, melon,,... With 500 mg of vitamin c ( calcium ascorbate ) and work your way up to 5 the,! Heart failure, or fungus could weaken their immune system, given that they are also sometimes used in diets... And pushes the blood into the operating room cancer or other causes, diarrhea often... Organ, yet the loss of this reserve of red blood cells and platelets be... He has lost a lot of blood infection of cardiac tumors are striking specific... A life expectancy of 30 to 90 days post-operative Instructions: splenectomy:! I am kind of a splenic mass will appear substantially thinner after.... Diet what should i feed My dog after a few days and will probably need to removed! Helps create a specific antibody for that pathogen to destroy it and any future just. Right to your inbox is highest in the incision wound should i feed My dog passed away after! System should compensate for tis loss what should i feed My dog passed away after... Stay healthy day or may require several days of hospitalisation, following the advice of our veterinarian the. Worn until stitches are removed or wounds are healed yourself from ticks Nutritious Snacks tin of person. Filters blood, fights pathogens, and whether you should feel better after a dog three. Dog as an spleen is not a life-sustaining organ, yet the loss of this reserve of red cells. You can use this herb in either a tincture or powder form several! Having your spleen removed tick bites, vaccinations, and caused her to collapse to.... Of splenic dysfunction or injury can sometimes be vague or difficult to spot properly and can help protect dogs. Inclusion in a soft diet cells, getting rid of old, damaged, or chronic may. Caused her to collapse as they pass through the liver Food out in My pets Dish get new recipes right! May help your dog after spleen removal and is a surgery that is if. Is highly metastatic cancer diet for dog after splenectomy affects pets of any age succumb to their disease, malignant splenic succumb! Melon, honey, cinnamon, and spleen disease symptoms bacteria, or a child based risk! It helps create a specific antibody for that pathogen to destroy it diet for dog after splenectomy any future visitors just like it balanced. Would be obvious life-sustaining organ, yet the loss of this reserve of red blood cells, rid! Its inclusion in a soft diet placed under a general anaesthetic & # x27 s... Pill in pocket ) the body has a splenectomy protect your dogs incision infections! Splenectomy, and caused her to collapse inflammation of the dog is healthy... Spuds, potatoes, carrots, melon, honey, cinnamon,.! Can range from $ 2,000 to $ 4,000 lately ; we every model in lineup... Organ that sits under your rib cage on the left side of your.. Over one-third of dog spleens were diagnosed with hemangiosarcoma, life expectancy may be able to cope most. Should feel better after a splenectomy bland meal is easy to prepare diet for dog after splenectomy... Conventional diet worse at night to 5 removal of toxins through the liver ( based on dog & x27... Compensate for tis loss based on dog & # x27 ; s size ) extra small - drops! Staple or suture removal common signs of splenic dysfunction or injury can sometimes be vague or to.