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Splenomegaly

Spleen enlargement; Enlarged spleen; Spleen swelling

Splenomegaly is a larger-than-normal spleen. The spleen is an organ in the upper left part of the belly.

Considerations

The spleen is an organ that is a part of the lymph system. The spleen filters the blood and maintains healthy red and white blood cells and platelets. It also plays a role in immune function.

Many health conditions can affect the spleen. These include:

  • Diseases of the blood or lymph system
  • Infections
  • Cancer
  • Liver disease

Symptoms of splenomegaly include:

  • Hiccups
  • Inability to eat a large meal
  • Pain in the upper left side of the belly

Causes

Splenomegaly can be caused by any of the following:

  • Infections
  • Liver diseases
  • Blood diseases
  • Cancer

Home Care

In rare cases, an injury can rupture the spleen. If you have splenomegaly, your health care provider may advise you to avoid contact sports. Your provider will tell you what else you need to do to take care of yourself and any medical condition.

When to Contact a Medical Professional

There are usually no symptoms from an enlarged spleen. Seek medical help right away if pain in your belly is severe or gets worse when you take a deep breath.

What to Expect at Your Office Visit

The provider will ask about your symptoms and medical history.

A physical exam will be done. The provider will feel and tap along the upper left part of your belly, especially just under the rib cage.

Tests that may be done include:

  • Abdominal x-ray, ultrasound, or CT scan
  • Blood tests, such as a complete blood count (CBC) and tests of your liver function 

Treatment depends on the cause of splenomegaly.

References

Armitage JO, Bierman PJ. Approach to the patient with lymphadenopathy and splenomegaly. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 168.

Hertzberg BS, Middleton WD. Spleen. In: Hertzberg BS, Middleton WD, eds. Ultrasound: The Requisites. 3rd ed. Philadelphia, PA: Elsevier; 2016:chap 8.

Vos PM, Barnard SA, Cooperberg PL. Benign and malignant lesions of the spleen. In: Gore RM, Levine MS, eds. Textbook of Gastrointestinal Radiology. 4th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 105.

  • Splenomegaly

    Splenomegaly - illustration

    Splenomegaly is an enlargement of the spleen.

    Splenomegaly

    illustration

  • Enlarged spleen

    Enlarged spleen - illustration

    Because of its wide variety of functions, the spleen may be affected by many conditions involving the blood or lymph system, and by infection, malignancies, liver disease, and parasites.

    Enlarged spleen

    illustration

    • Splenomegaly

      Splenomegaly - illustration

      Splenomegaly is an enlargement of the spleen.

      Splenomegaly

      illustration

    • Enlarged spleen

      Enlarged spleen - illustration

      Because of its wide variety of functions, the spleen may be affected by many conditions involving the blood or lymph system, and by infection, malignancies, liver disease, and parasites.

      Enlarged spleen

      illustration

     

    Review Date: 1/19/2018

    Reviewed By: Richard LoCicero, MD, private practice specializing in hematology and medical oncology, Longstreet Cancer Center, Gainesville, GA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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