Ultrasonography of the spleen

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Author: Mikael Häggström [notes 1]

Size

Maximum length of spleen on abdominal ultrasonography.

A measurement of spleen size is a standard procedure as part of a liver exam, since splenomegaly is a sign of portal hypertension.

Suggested cutoffs are:[1][2]

  • Normal (not splenomegaly): the maximum length is less than 11 cm
  • Moderate splenomegaly: the maximum length is between 11–20 cm
  • 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).[3]

Notes

  1. For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.

References

  1. Neetu Radhakrishnan. Splenomegaly. Medscape. Updated Apr. 2012 (referring the classification system to Poulin et al.
  2. Page 1964 in: Florian Lang (2009). Encyclopedia of Molecular Mechanisms of Disease . Springer Science & Business Media. ISBN 9783540671367. 
  3. Chow, Kai Uwe; Luxembourg, Beate; Seifried, Erhard; Bonig, Halvard (2016). "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 ". Radiology 279 (1): 306–313. doi:10.1148/radiol.2015150887. ISSN 0033-8419.