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Splenomegaly

From Surgopaedia

Massive splenomegaly:

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  • >1000-1500g

Pathophysiology

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  • Engorgement with blood due to vascular pressure
  • Haemolysis
  • Infiltration by other cells or material

Aetiology

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Congestive
Cirrhosis
Heart failure
Thrombosis of portal, hepatic, or splenic veins
Malignancy
Lymphoma, usually indolent variants
Acute and chronic leukemias
Polycythemia vera
Multiple myeloma and its variants
Essential thrombocythemia
Primary myelofibrosis
Primary splenic tumors
Metastatic solid tumors
Infection
Viral – Hepatitis, infectious mononucleosis, cytomegalovirus
Bacterial – Salmonella, Brucella, tuberculosis
Parasitic – Malaria, schistosomiasis, toxoplasmosis, leishmaniasis
Infective endocarditis
Fungal
Inflammation
Sarcoid
Serum sickness
Systemic lupus erythematosus
Rheumatoid arthritis (Felty syndrome)
Infiltrative, nonmalignant
Gaucher disease
Niemann-Pick disease
Amyloid
Other lysosomal storage diseases (eg, mucopolysaccharidoses)
Langerhans cell histiocytosis
Hemophagocytic lymphohistiocytosis
Rosai-Dorfman disease
Hematologic (hypersplenic) states
Acute and chronic hemolytic anemias, all etiologies
Sickle cell disease (children)
Following use of recombinant human granulocyte colony-stimulating factor