Professional Documents
Culture Documents
Splenomegaly
Splenomegaly
Splenomegaly
Hypersplenism
BY
Dr. Hany Arafat
Lecturer of internal medicin
It lies in the left upper quadrant of the
abdomen
normal spleen 10 cm length ,150 gms
Lies beneath 9 th to the 12 th rib
lymphatic organ suspended within the
greater omentum
connected to stomach by gastrosplenic
ligament ,and to the kidney by splenorenal
Spleen has only efferent lymph
vessels
• Early satiety
• Nixon’s method
• Castel's sign
• Traube’s sign
Traube’s sign
• The borders of Traube’s space are the sixth rib
superiorly, the left midaxillary line laterally, and the left
costal margin inferiorly
• Infiltration
Increased demand for splenic
function
• Reticuloendothelial system hyperplasia (for
removal of defective erythrocytes) as in :
• spherocytosis
• thalassemia
• Early sickle cell anemia
Increased demand…..ctd
• Immune hyperplasia
•Amylodosis
•Gaicher disease
•Nimen pick disease
•hperlipidaemia
Infiltration of……ctd
• Benign and malignant cellular infiltrations
• splenectomy
Laboratory Tests
• Erythrocyte count
• Decrease as in felty’s
syndrome ,congestive splenomegaly
• Decrease in
cong.splenomeg. ,myeloproliferative dis .
• CT
• MRI
treatment
• Treat the underlying disorder.
• Splenectomy is indicated in certain clinical
situations.
• Symptom control in patients with massive
splenomegaly
• Disease control in patients with traumatic
splenic rupture
• Correction of cytopenias in patients with
hypersplenism or immune-mediated
Multiple cysts
Massive splenomegaly
Normal spleen dimensions
Spleen injury
Pseudo cyst treated by
percutanous drainage if child
Splenomegaly compressing the
stomach
Spleen abcess
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