SplenomegalySandwitchedStomach

Comment

Comment by saeed rad on November 12, 2008 at 12:49am

My pleasure, thanx

Comment by M Taharul Alam on November 11, 2008 at 10:03pm

As i find no bony changes i was thinking in the same line but your information is so valuable. Thanx.

Comment by saeed rad on November 11, 2008 at 11:46am

Perpendicular splenomegaly is usually due to a sympathetiic effect of the spleen in the inflammatory disorders but inward oriented splenomegaly, like this case, takes part of some systemic lymphatic disorder like leukemia and so on.

Comment by M Taharul Alam on November 11, 2008 at 11:37am

So obvious but what's the reason for this huge splenomegaly in this case? Any clue in this film?

Comment by saeed rad on November 11, 2008 at 11:10am

Norrow slit standing between liver and huge splenomegaly would be nothing but only the stomach. Stomach is the only air containing organ at the upper abdomen under diaphragm, and i think you can delineate it even without barium once you see the body and gastric antrum with its familiar shape. Thanx for comment.

Comment by Dr. Mohamed Refaey on November 11, 2008 at 4:57am

splenomegaly is clear, although in such a case I'll comment with huge soft tissue density for ultrasound or CT correlation. the pressure effect on stomach needs barium study.