Splenomegaly

Case contributed by Dr Ian Bickle

Presentation

Distended abdomen. Bowel obstruction?

Patient Data

Age: 75 years
Gender: Female
X-ray

The spleen is enlarged with the inferior tip just above the iliac crest.

No bowel obstruction.  

Case Discussion

This patient had no known history of splenomegaly.

Subsequent ultrasound confirmed moderate splenomegaly, measuring 17cm.

The plain film was the starting point for the investigation of splenomegaly. 

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