Abstract
Hepatomegaly is present if (1.) palpation locates the lower border of the right lobe of liver to be more than 2 cm (one to two finger breadths) below the left costal arch (MCL lateral to rectus abdominis) (caution: phrenoptosis), (2.) the absolute liver dullness on percussion is more than 14 cm, or (3.) the longitudinal diameter of the liver in the MCL is greater than approximately 15 cm in the sonogram.
Keywords
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Dockter, G., Sitzmann, F.C.: Hepatosplenomegalie im Kindesalter — vom Symptom zur Diagnose. Med. Welt 1988; 39: 1287–1292
Garcia Reinoso, C., Saez-Royuela, F., Gomez Rubio, M., Gomez Carrascal, C., Miranda Baiocchi, R., Hernandez Guio, C.: Formas de presentation y procedimientos diagnosticos del hemangioma hepatico gigante. Rev. Esp. Enf. Ap. Digest. 1989; 76: 617–621
Götz, G.F., Mathias, K., Dykgers, A.: Neuroblastom IV-S. Kasuistischer Beitrag zur Hepatomegalie. Fortschr. Röntgenstr. 1987; 147: 91–93
Gosink, B., Leymaster, C.: Ultrasonic determination of hepatomegaly. J. Clin. Ultrasound 1981; 9: 37–41
Müllhaupt, B., Steuser, J., Vetter, W.: Fettunverträglichkeit, Druck im rechten Oberbauch, Hepatomegalie. Schweiz. Rundsch. Med. (Praxis) 1990: 79: 639–642
Ortega Calvo, M., Corchado Albalat, Y., Fuentes Verdera, M., Griera Borras, J.L., Martinez Manzanares, C.: Aspectos clinicos de la hepatomegalia de estasis. Rev. Esp. Enf. Ap. Digest. 1989; 76: 612–616
Schneider, J.G., Schaefer, S., Lettgen, B., Keiper, T., Nawroth, P.P., Dugl, K.A.: Siblings with hepatosplenomegaly and lipoprotein lipase deficiency. Lancet 2002; 360: 1150.
Serra, L., Poppi, M.C., Criscuolo, M., Zandomeneghi, R.: Primary systemic amyloidosis with giant hepatomegaly and portal hypertension: a case report and a review of the literature. Ital. J. Gastroenterol. 1993; 25: 435–438
Thiel, van, D.H., Hagler, N.G., Schade, R.R., Skolnick, M.L., Pollitt Heyl, A., Rosenblum, E., Gavaler, J.S., Penkrot, R.J.: In vivo hepatic volume determination using sonography and computed tomography. Gastroenterology 1985; 88: 1812–1817
Urganci, N., Arapoglu, M., Evrüke, M., Aydin, A.: A rare cause of hepatomegaly: 3-hydroxy-3-methylglutaryl coenzyme-A lyase deficiency. J. Pediatr. Gastroenterol Nutr. 2001; 33: 339–341
Wolf, A., Lavine, J.: Hepatomegaly in neonates and children Pediatr. Rev. 2000; 21: 303–310
Splenomegaly
Akoh, J.A., Auld, C.D.: Splenic abscess: is conservation applicable? Brit. J. Clin. Pract. 1992; 46: 274–275
Al Mohaya, S., Al-Awami, M., Vaidya, M.P., Knox-Macaulay, H.: Hydatid cyst of the spleen. Amer. J. Trop. Med. Hyg. 1986; 35: 995–999
Berquist, W.E., Diament, M., Fonkalsrud, E.W.: Splenic cyst presenting as a gastric mass. J. Pediatr. Gastroenterol. Nutrit. 1984; 3: 805–807
Burrig, K.F.: Epithelial (true) splenic cysts. Pathogenesis of the mesothelial and so-called epidermoid cyst of the spleen. Amer. J. Surg. Pathol. 1988; 12: 275–281
Caslowitz, P.L., Labs, J.D., Fishman, E.K., Siegelman, S.S.: Nontraumatic focal lesions of the spleen: assessment of imaging and clinical evaluation. Comput. Med. Imaging Graph. 1990; 14: 133–141
Dachman, A.H., Ros, P.R., Murari, P.J., Olmsted, W.W., Lichtenstein, J.F.: Nonparasitic splenic cysts: a report of 52 cases with radiologicpathologic correlation. Amer. J. Roentgenol. 1986; 147: 537–542
Doll, M., Schölmerich, J., Spamer, C., Volk, B.A., Gerok, W.: Klinische Bedeutung der sonographisch festgestellten Splenomegalie. Dtsch. Med. Wschr. 1986; 111: 887–891
Ebaugh, F.G. jr., McIntyre, O.R.: Palpable spleens: ten years follow-up. Ann. Intern. Med. 1979; 90: 130–131
Gusberg, R.J., Peterec, S.M., Sumpio, B.E., Meier, G.H.: Splenomegaly and variceal bleeding — hemodynamic basis and treatment implications. Hepato-Gastroenterol. 1994; 41: 573–577
Guzzetta, P.C., Ruley, E.J., Merrick, H.F., Verderese, C., Barton, N.: Elective subtotal splenectomy. Indications and results in 33 patients. Ann. Surg. 1990; 211: 34–42
Horber, F.F., Lerut, J.P., Reichen, J., Zimmermann, A., Jaeger P., Malinverni, R.: Visceral leishmaniasis after orthotopic liver transplantation: impact of persistent splenomegaly. Transpl. Int. 1993; 6: 55–57
Johnson, H.A., Deterling, R.A.: Massive splenomegaly. Surg. Gynec. Obstetr. 1989; 168: 131–137
Klee, F.E., Osswald, B.R., Wysocki, S.: Cyst of the spleen — classical incidental diagnosis? Zb. Chir. 1996; 121: 805–816
Knaut, S., Ludtke-Handjery, A., Anbuth, D.: Die posttraumatische Milzzyste. Zentralbl. Chir. 1988; 113: 42–47
Korn, M.A., Mostbeck, G.H., Tscholakoff, D.: Duplexsonographie: Echoreiche Milzzyste oder Splenomegalie? Röntgenblätter 1990; 43: 107–108
Manesis, E., Zoumboulis, P., Georgiou, S., Vardaka, J., Hadziqannis, St.: Splenomegaly in asymptomatic chronic carriers of hepatitis B and D viruses. Eur. J. Gastroenterol. Hepatol. 1994; 6: 793–796
Manoharan, A., Bader, L.V., Pitney, W.R.: Non-tropical idiopathic splenomegaly (Dacie’s syndrome). Report of 5 cases. Scand. J. Haematol. 1982; 28: 175–179
Meran, J., Creutzig, A., Specht, S., Schürmeyer, Th., Brunner, G., Ranke, C., Fabel, H.: Portale, Hypertension und chronische Arsenexposition. Wien. Med. Wschr. 1989; 139: 580–584
Ohta, M., Tsutsumi, Y., Tanaka, Y.: Splenic hamartoma. Acta Pathol. Jpn. 1986; 36: 471–480
Piontek, M., Hengels, K.J., Borchard, F., Strohmeyer, G.: Nicht-zirrhotische Leberfibrose nach chronischer Arsenintoxikation. Dtsch. Med. Wschr. 1989; 114: 1653–1657
Ramer, M., Diznoff, S.B., Hewes, A.C.: Intrasplenic pancreatic pseudocyst: another cause of splenomegaly. Clin. Radiol. 1974; 25: 525–529
Reynolds, M., Donaldson, J.S., Vogelzar, R.L.: Giant jatrogenic splenic pseudocyst. J. Pediatr., Surg. 1989; 24: 700–701
Schloesser, L.L.: The diagnostic significance of splenomegaly. Amer. J. Med. Sci. 1963; 245: 118–124
Schölmerich, J.: Diagnostische Maßnahmen bei Splenomegalie. Dtsch. Med. Wschr. 1986; 111: 903–905
Sekiya, T., Meller, S.T., Cosgrove, D.O., McCready, V.R.: Ultrasonography of Hodgkin’s disease in the liver and spleen. Clin. Radiol. 1982; 33: 635–639
Sheth, S.G., Amarapurkar, D.N., Chopra, K.B., Mani, S.A., Mehta, P.J.: Evaluation of splenomegaly in portal hypertension. J. Clin. Gastroenterol. 1996; 22: 28–30
Waller, H.D.: Differentialdiagnose des Milztumors. Therapiewoche 1975; 35: 4720–4732
Warfel, K.A., Ellis, G.H.: Peliosis of the spleen. Reports of a case and review of the literature. Arch. Pathol. Med. 1982; 106: 99–100
Welten, C.A., Sijbrandij, E.S.: Familial nonparasitic, splenic cysts. Netherl. J. Med 1992; 40: 236–239
Rights and permissions
Copyright information
© 2008 Springer Medizin Verlag Heidelberg
About this chapter
Cite this chapter
(2008). Hepatomegaly and splenomegaly. In: Hepatology Textbook and Atlas. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-76839-5_11
Download citation
DOI: https://doi.org/10.1007/978-3-540-76839-5_11
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-76838-8
Online ISBN: 978-3-540-76839-5
eBook Packages: MedicineMedicine (R0)