Sonographic measurement of the spleen: splenic length in adults and its correlation with different parameters

Arora, Neetu; Sharma, Prachi; Sahai, Ashok; Singh, Ragini

doi:10.1016/s0003-2778(13)80014-7

Cited by 13 publications

(18 citation statements)

References 9 publications

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“…This study also demonstrated that the splenic length and thickness of males were greater than those in females in each age group of this study. In present study, the men spleen length were more (10.07 ±0.7 cm, 10.1 ±0.54 cm, 9.5 ±0.7cm and 9.0 ±0.43 cm for age group of 16 - 12,13 who demonstrated that the spleen length was greater in males than in females by 0.2 cm and this difference was found to be significant. Perhaps this increased values in males than in females were due to general development of the organs in males or the differences in weight, height, body surface area and genetic factors 5,14 .…”

Section: Discussionsupporting

confidence: 56%

Sonographic Measurement of Spleen in Relation to Age: A Prospective Study among Adult Nepalese People in Western Nepal

Sharma

Lamichhane

Sharma

2017

J. Gandaki Med. Coll. Nepal

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Introduction: Splenomegaly is an enlargement of the spleen which is a quite common problem in any part of the world. Spleen is enlarged in various clinical disorders e.g. infections, metabolism or storage disorders and hematological abnormalities. Splenomegaly is an indicator of pathologic process that may be of primary splenic origin but also may be a reflection of disease in virtually any other organ system. Thus, it is important to estimate the splenic size in vivo in the diagnosis, treatment and prognosis of a variety of disorders.Objective: The objective of this study was to determine the normal dimension of the spleen in the adult Nepalese people.Methods: This is a prospective study in which 320 adults subjects were scanned by using 3.5 MHz curvilinear probe. We used ultrasonography to examine 160 males and 160 females, not to have any condition likely to be associated with splenic enlargement. The measurement for the length and thickness of spleen were obtained in right lateral position.Results: This study revealed the splenic dimensions for males were greater than in females. The men spleen length were (10.07 ±0.7 cm, 10.1 ±0.54 cm, 9.5 ±0.7 cm and 9.0 ±0.43 cm for age group of 16 - 30, 31 - 45, 46 - 60 and 61 - 75 years respectively). The females spleen length were (9.83 ±0.53 cm, 9.58 ±0.58cm, 9.2 ±0.64 cm and 8.8 ±0.36 cm for age group of 16 - 30, 31 - 45, 46 - 60 and 61 - 75 years respectively). The men spleen thickness were more (4.1 ±0.5 cm, 4.05 ±0.58 cm, 3.43 ±0.38 cm and 3.0 ±0.36 cm for age group of 16 - 30, 31 - 45, 46 - 60 and 61 - 75 years respectively). The females splenic thickness were 4.06 ±0.47 cm, 3.78 ±0.48 cm, 3.38 ±0.35 cm and 2.29 ±0.23 cm for age group of 16 - 30, 31 - 45, 46 - 60 and 61 - 75 years respectively. Thus significant differences between male and female splenic dimensions were found for each age group chosen (P <0.05).Conclusions: The results show that the splenic length and thickness decreased with increase in age in both males and females and all the dimensions were greater in males than in females. This study established normogram that can be more reliably used as both a complementary modality to clinical evaluation and as a more sensitive means of evaluating and screening patients for splenic disorders for any pathological enlargement or reduction of size in clinical practice in a Nepalese populations.Journal of Gandaki Medical College Vol. 10, No. 1, 2017, page: 11-16

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Section: Discussionsupporting

confidence: 56%

Sonographic Measurement of Spleen in Relation to Age: A Prospective Study among Adult Nepalese People in Western Nepal

Sharma

Lamichhane

Sharma

2017

J. Gandaki Med. Coll. Nepal

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“…But, the African report of spleen thickness higher than the present finding. [10,15] The possible reasons for the dimensional variation of spleen may be genetic factors and sociodemographic factors. An ultrasound base study done in an endemic tropical environment reported the mean splenic volume of 202.7 cm3 and 153.7 cm3 in male and female subjects, respectively.…”

Section: Section: Anatomymentioning

confidence: 99%

“…An ultrasound base study done in an endemic tropical environment reported the mean splenic volume of 202.7 cm3 and 153.7 cm3 in male and female subjects, respectively. [10] Moreover, African population the volume of spleen was reported as 119.5 cm3. [3] Study conducted among Turkish adults indicated splenic volume for male (220.7 cm3) and for female study subjects (136.05 cm3).…”

Section: Section: Anatomymentioning

confidence: 99%

“…Among them are infectious mononucleosis, malaria, kalaazar (leishmaniosis), bacterial endocarditis, tuberculosis, brucellosis and salmonellosis. [9,10] Gross splenomegaly can be detected both clinically and sonographically. [11] But, the clinical examination is far from accurate to detect a small increase in spleen size.…”

Section: Introductionmentioning

confidence: 99%

“…It must be two to three times enlarged before it is palpable. [10] The precise measurement of spleen by palpation is not reliable, as in cases a normal sized spleen is palpable and a non-palpable spleen may not be normal sized. [12] Ultrasonography is a good modality for the detection of splenomegaly even when it is not clinically palpable.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Morphometric Assessment of the Normal Dimensions of the Adult Spleen in North-west Ethiopia Region – A Radiological Study

Tekle¹,

Gudadhe²,

Abreha³

et al. 2018

AIMDR

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Systematic review of spontaneous splenic rupture in dengue‐infected patients

Radwan

Khattab

Mahmoud

et al. 2019

Reviews in Medical Virology

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Summary Dengue infection varies from a mild febrile form to more severe disease with plasma leakage, shock, and multiorgan failure. Several serious complications such as cardiomyopathy, encephalopathy, encephalitis, hepatic damage, and neural manifestations cause organ damage in dengue infection. Splenic rupture, a less well known but life‐threatening complication, can occur in dengue. The mechanism of splenic rupture in dengue is still unclear. Optimal therapeutic management is required to save the lives of patients with this complication. The objective of this study was to conduct a systematic review of studies documenting the development of spontaneous nontraumatic splenic rupture in patients with dengue infection. In March 2018, a search was conducted systematically in nine electronic databases, in addition to hand‐ searching. A total of 127 references were exported to Endnote; 47 references remained after removing duplicates. Finally, 16 reports met the inclusion criteria and represented 17 cases. All articles were evaluated and data extracted according to predefined criteria: number of cases, age, sex, severity of dengue disease, days of illness before admission, methods of definitive diagnosis, timing of the event, and management and outcome. A total of 17 individual patients including 13 males and four females were found. Most of the patients were young adults (ranging from 20 to 52 years) and diagnosed with computed tomography scan and managed with splenectomy. Four cases were fatal. Pathological splenic rupture in dengue is a rare, life‐threatening condition where timely management can achieve a favorable outcome.

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Sonographic measurement of the spleen: splenic length in adults and its correlation with different parameters

Cited by 13 publications

References 9 publications

Sonographic Measurement of Spleen in Relation to Age: A Prospective Study among Adult Nepalese People in Western Nepal

Sonographic Measurement of Spleen in Relation to Age: A Prospective Study among Adult Nepalese People in Western Nepal

Morphometric Assessment of the Normal Dimensions of the Adult Spleen in North-west Ethiopia Region – A Radiological Study

Systematic review of spontaneous splenic rupture in dengue‐infected patients

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