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Spleen
enlarged spleen splenomegaly
symptoms of enlarged spleen splenomegaly
causes of enlarged spleen splenomegaly
diagnosis of enlarged spleen
treatment of enlarged spleen
splenectomy surgery for enlarged spleen

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Spleen

Spleen

enlarged spleen splenomegaly group_of_doctors

Spleen

Enlarged Spleen (Splenomegaly)

The spleen is simply a blood filter (like an oil filter) that filters out old red blood cells and certain types of bacteria. The spleen also has immune properties by making and storing white blood cells. It is roughly the size of a fist and it sits in the left lower rib cage near the back.

The spleen may enlarge as a result of a number of conditions including infections and diseases of blood cells.

symptoms of enlarged spleen splenomegaly group_of_doctors

Spleen

Symptoms

Very often someone with an enlarged spleen do not experience much symptoms. Occaionally you may feel a dragging sensation on the left side, unable to eat a full meal, tired, anaemia, prone to infections and tendency to bleed and bruises easily. Enlarged spleens are also more prone to rupture which is life-threatening and is a surgical emergency.

causes of enlarged spleen splenomegaly group_of_doctors

Spleen

CausesViral or parasitic infections like glandular fever and malaria.Liver cirrhosis including clots in the vein that drains the spleen causing back pressure on the spleen. Haemolytic anaemia like idiopathic thrombocytopenia (ITP), spherocytosisCancers of blood cells like leukaemia and Hodgkin's lymphomaRare conditions like Gaucher's disease and Niemann-Pick disease
diagnosis of enlarged spleen group_of_doctors

Spleen

Tests and diagnosis

Blood tests are the test of choice to find the cause of the splenomegaly. Other tests may include bone marrow biopsy. An ultrasound but more often a CT scan is used to determine the size of the spleen.

treatment of enlarged spleen group_of_doctors

Spleen

Treatments and drugs

Treatment of splenomegaly depends on the cause. These may include antibiotics, chemotherapy or radiotherapy. Surgery to remove the spleen (splenectomy) may be required if the enlarged spleen causes serious complications. Splenectomy may offer the best chance for recovery in chronic or severe cases.

splenectomy surgery for enlarged spleen group_of_doctors

Spleen

SplenectomyMost enlarged spleens even ones the size of rugby balls can be removed by laparoscopic (keyhole) surgery. The recovery from this is significantly quicker than by open surgery. Most patient may go home after 1-2 nights hospital stay and depending on the underlying condition, full recovery is usually expected after 7-10 days. Following splenectomy you will need to be on life-long antibiotics as you are more prone to contracting infections and you will also require pneumococcal (Pneumovax), haemophilus influenzae type b (Hib), and meningococcal vaccines. Other than these precautions you can expect to live an active life without a spleen.

Spleen

enlarged spleen splenomegaly

symptoms of enlarged spleen splenomegaly

causes of enlarged spleen splenomegaly

diagnosis of enlarged spleen

treatment of enlarged spleen

splenectomy surgery for enlarged spleen

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