Grade 3 spleen laceration, in case of trauma, abdomenal CT is done in order to exclude any organ damage or internal bleeding, in case of presence of blood an open laprotomy is done to explore and fix the damaged organ! Rupturing a spleen describes an emergency situation in which your spleen has developed a break in its surface. This is serious condition that can occur during a direct blow or trauma and without emergency treatment a ruptured spleen can cause life threatening internal bleeding. Spleen laceration is considered one of the most affected organs in car accidents(although new statistics state liver.