Splenic rupture immediate treatment is

Immediate laparotomy is indicated for splenic rupture if there is obvious evidence of continuing blood loss despite adequate resuscitation. The incidence of major associated intra and abdominal injuries are also exceeded 50% and so laparotomy should be considered if there is strong suspicion of trauma to other organs Thoracoabdominal extension of left subcostal /midline incision is made to be rapid control of bleeding for injury to large tropical spleen with the severe bleeding. SRB 5th edition page no. 671 Bailey and love&;s 24 the edition page no. 1087