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+Children
* Severe splenomegaly: the maximum length is greater than 20 cm
90% confidence intervals of maximum lengths in the normal population have lower limits between 6.4 cm (in short women) and 10.2 cm (in tall men), and upper limits between 12.0 and 14.4 cm (respectively).:<ref name="ChowLuxembourg2016">{{cite journal|last1=Chow|first1=Kai Uwe|last2=Luxembourg|first2=Beate|last3=Seifried|first3=Erhard|last4=Bonig|first4=Halvard|title=Spleen Size Is Significantly Influenced by Body Height and Sex: Establishment of Normal Values for Spleen Size at US with a Cohort of 1200 Healthy Individuals|journal=Radiology|volume=279|issue=1|year=2016|pages=306–313|issn=0033-8419|doi=10.1148/radiol.2015150887}}</ref><ref group="notes">Full table:
{|class="wikitable" align="center"
|+ 90% confidence interval of maximum spleen length by [[abdominal ultrasonography]] by height of the person
| 195 - 199 cm || || 10.2 - 14.4 cm
|}
{|class="wikitable" align="right"! Age !! Cutoff<ref name="RosenbergMarkowitz1991">{{cite journal|last1=Rosenberg|first1=H K|last2=Markowitz|first2=R I|last3=Kolberg|first3=H|last4=Park|first4=C|last5=Hubbard|first5=A|last6=Bellah|first6=R D|title=Normal splenic size in infants and children: sonographic measurements|journal=American Journal of Roentgenology|volume=157|issue=1|year=1991|pages=119–121|issn=0361-803X|doi=10.2214/ajr.157.1.2048509}}</ref>|-| 3 months || 6.0 cm|-| 6 months || 6.5 cm |-| 12 months || 7.0 cm|-| 2 years || 8.0 cm|-| 4 years || 9.0|-| 6 years || 9.5 cm |-| 8 years || 10.0 cm|-| 10 years || 11.0 cm|-| 12 years || 11.5 cm|-| 15 years |* 12.0 cm<br> for girls* 13.0 cm<br> for boys|}For children, the cutoffs for splenomegaly are given in this table, when measuring the greatest length of the spleen between its dome and its tip, in the [[coronal plane]] through its hilum while breathing quietly.<ref name="RosenbergMarkowitz1991"/>
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