Presentation
Distended abdomen. Bowel obstruction?
Patient Data
Age: 75 years
Gender: Female
From the case:
Splenomegaly
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Info

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.