giant spleen
Introduction
Introduction The spleen of giant spleen, the volume is obviously increased, generally tens to hundreds of times normal, especially in portal hypertension, spleen blood flow is blocked, spleen sinus is open, spleen congestion, swollen spleen is stored A lot of blood, sometimes even up to thousands of milliliters.
Cause
Cause
The causes of splenomegaly are:
(1) Infectious splenomegaly: various acute and chronic infections such as typhoid fever, paratyphoid fever, kala-azar, schistosomiasis, malaria, viral hepatitis, sepsis, advanced syphilis, etc.
(2) septic splenomegaly: spott's syndrome, cirrhosis, cardiogenic cirrhosis caused by chronic heart failure, chronic constrictive pericarditis, portal vein or splenic vein thrombosis.
(3) proliferative splenomegaly: found in some blood diseases such as leukemia, hemolytic anemia, malignant lymphoma.
(4) Others: spleen malignant tumors are rare, spleen cysts, disseminated lupus erythematosus, dermatomyositis, nodular polyarteritis, Gaucher's disease, etc.
Because the spleen is more complicated, except for a few people who are physiological, they should look for the cause under the guidance of a doctor and review it regularly.
Examine
an examination
Related inspection
MRI spleen imaging of liver, gallbladder, pancreas and spleen
Clinically, if the spleen is larger than 10cm below the rib, it is called giant spleen. Therefore, or the surrounding inflammation often causes symptoms such as left abdominal fullness, decreased food intake, lower extremity edema, and spleen pain.
Diagnosis
Differential diagnosis
Differential diagnosis of splenomegaly:
Splenomegaly: Splenomegaly is an important pathological sign. Under normal circumstances, the spleen is generally not touched. If the supine or lateral position can touch the edge of the spleen, the spleen should be considered enlarged. People with low or thin diaphragm muscles, especially women, can touch the edge of the spleen, but they are quite soft and have no tenderness, which is different from pathological splenomegaly. Increased spleen volume is a major manifestation of spleen disease.
Clinically, if the spleen is larger than 10cm below the rib, it is called giant spleen. Therefore, or the surrounding inflammation often causes symptoms such as left abdominal fullness, decreased food intake, lower extremity edema, and spleen pain.
