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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should A Child Be Protected If Having An Enlarged Spleen?

My son is 9yrs old & has spherocytosis, he has an enlarged spleen. He plays football and now wants to play rugby should we be worried about not wearing a spleen guard. He also has crohns so the option of spleen removal has now been put on the back burner. Thanks
Wed, 19 Nov 2014
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Pediatrician 's  Response
You are caught between a rock and a hard place. Splenectomy would improve the spherocytosis but the presence of Crohns puts the halt on that. Is the diagnosis of Crohns a firm one or one in progress? Has he been tested for celiac disease? Independent of the above issues, football and rugby are high risk sports for any 9 year old and recurrent concussions have occurred more often that we like in both. Would your son consider an alternative sport such as a martial art or swimming for example. If he were my patient, I would discourage the football and rugby even if we were not worried about his spleen.
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Should A Child Be Protected If Having An Enlarged Spleen?

You are caught between a rock and a hard place. Splenectomy would improve the spherocytosis but the presence of Crohns puts the halt on that. Is the diagnosis of Crohns a firm one or one in progress? Has he been tested for celiac disease? Independent of the above issues, football and rugby are high risk sports for any 9 year old and recurrent concussions have occurred more often that we like in both. Would your son consider an alternative sport such as a martial art or swimming for example. If he were my patient, I would discourage the football and rugby even if we were not worried about his spleen.