Massive splenomegaly…


This patient presented with left upper quadrant abdominal pain:

Splenomegally + Masses

 

The abdominal CT above shows massive splenomegaly with various areas of hypo attenuation throughout the spleen.

In the ED, the spleen is not often the organ responsible for non-traumatic pain in the left upper quadrant.  Gastric, colonic, and kidney disorders are much more predominant.  In this example however the spleen is definitively causing the patient’s discomfort.

What is your differential diagnosis for massive splenomegally?

Answer to follow

Author:  Russell Jones, MD

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EMREMS: Radiology in Emergency Medicine

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One Comment on “Massive splenomegaly…”

  1. Ryan Tee (@Ryan725) Says:

    Splenic infiltration due to lymphoma/leukemia
    Massive splenomegaly has only a few causes: CML, myelofibrosis, thalassemia, malaria and kala azar (in tropical countries)

    Reply

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