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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.
Lymph system
The lymph system is a network of organs, lymph nodes, lymph ducts, and lymph vessels that make and move lymph from tissues to the bloodstream. The l...
Many health conditions can affect the spleen. These include:
- Diseases of the blood or lymph system
- Infections
- Cancer
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Liver disease
Liver disease
The term "liver disease" applies to many conditions that stop the liver from working or prevent it from functioning well. Abdominal pain, yellowing ...
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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
It is important to prevent injury that might rupture your spleen. You should avoid contact sports.
Your health care 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's 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.
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Splenomegaly - illustration
Splenomegaly is an enlargement of the spleen.
Splenomegaly
illustration
-
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 - illustration
Splenomegaly is an enlargement of the spleen.
Splenomegaly
illustration
-
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: 2/12/2016
Reviewed By: Todd Gersten, MD, Hematology/Oncology, Florida Cancer Specialists & Research Institute, Wellington, FL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
