What is the normal size of a spleen. How does spleen size vary with age. Can spleen size indicate health issues. What factors affect spleen dimensions. How is spleen size measured. Why is spleen size important for diagnosis.

The Spleen: A Small but Mighty Organ

The spleen, a small organ tucked away behind the stomach and under the diaphragm, plays a crucial role in our body’s health. Despite its modest size, the spleen performs vital functions that contribute to our overall well-being. Its primary role is to act as a filter for our blood, removing old, damaged, or abnormal red blood cells from circulation.

But how does the spleen accomplish this task? The organ contains a complex network of narrow tunnels that trap unwanted cells while allowing healthy red blood cells to pass through unimpeded. This filtering mechanism ensures that only the most efficient cells continue to circulate in our bloodstream.

The Spleen’s Role in Immune Function

Beyond its blood-filtering capabilities, the spleen also serves as an important component of our immune system. When potentially harmful microorganisms enter our bloodstream, the spleen springs into action. Working in conjunction with lymph nodes, it produces lymphocytes – a type of white blood cell specially equipped to create antibodies that combat infections.

• Filters blood to remove old or damaged red blood cells
• Traps and eliminates certain bacteria and viruses
• Produces lymphocytes to fight infections
• Supports overall immune function

Factors Influencing Spleen Size

Unlike many other organs in the human body, the spleen’s size is not static. It can change throughout a person’s lifetime, often in response to various factors such as illness or injury. But what exactly determines the size of a healthy spleen?

Gender Differences in Spleen Size

Research has shown that gender plays a significant role in determining spleen size. Generally, women tend to have smaller spleens compared to men. This difference is not merely a result of overall body size disparities between the sexes. A study published in the journal Radiology suggests that men typically have a greater red cell mass than women, which may contribute to their larger spleen size.

Height and Its Impact on Spleen Dimensions

Height is another factor that influences spleen size. Taller individuals, regardless of gender, tend to have larger spleens than their shorter counterparts. This correlation between height and spleen size underscores the importance of considering an individual’s physical characteristics when assessing spleen dimensions.

Age-Related Changes in Spleen Size

The spleen undergoes size changes throughout a person’s life. During childhood and adolescence, the spleen grows along with the rest of the body. However, once adulthood is reached, an interesting trend emerges. With each passing decade, the spleen tends to shrink slightly. This gradual reduction in size is a normal part of the aging process and should not be a cause for concern in most cases.

Normal Spleen Dimensions: What’s the Standard?

While spleen size can vary considerably from person to person, there are general guidelines for what constitutes a normal, healthy spleen. In adults, a typical spleen measures approximately:

• Length: 5 inches (12.7 cm)
• Width: 3 inches (7.6 cm)
• Thickness: 1.5 inches (3.8 cm)
• Weight: 6 ounces (170 grams)

However, it’s crucial to remember that these measurements are averages, and individual variations are common. Factors such as gender, height, and age can all influence these dimensions.

Spleen Size in Children: A Growing Concern

For children, spleen size is typically measured in terms of length, with the upper limit of normal varying by age. According to a study published in the American Journal of Roentgenology, there is relatively little difference in spleen size between boys and girls up to the age of 15. The average maximum spleen length by age group is as follows:

1. Newborns to 3 months: Up to 6 cm
2. 4 months to 1 year: Up to 7 cm
3. 1 to 2 years: Up to 8 cm
4. 3 to 4 years: Up to 9 cm
5. 5 to 7 years: Up to 10 cm
6. 8 to 10 years: Up to 11 cm
7. 11 to 15 years: Up to 12 cm

Detecting Spleen Abnormalities: When Size Matters

While slight variations in spleen size are normal, significant enlargement or shrinkage can be indicative of underlying health issues. But how do medical professionals detect these abnormalities?

Physical Examination: The First Line of Detection

During a routine physical examination, a skilled physician can often detect an enlarged spleen through palpation. By gently pressing on the abdomen, they can feel if the spleen extends beyond its normal boundaries. This simple yet effective technique serves as an initial screening method for potential spleen issues.

Blood Tests: Uncovering Hidden Clues

Blood tests play a crucial role in diagnosing spleen abnormalities. By analyzing levels of red blood cells, white blood cells, and platelets, doctors can gain valuable insights into spleen function. Abnormal blood cell counts may indicate spleen enlargement or other related conditions.

Imaging Techniques: A Closer Look Inside

When more detailed information is needed, imaging tests come into play. Ultrasound is often the preferred method for evaluating spleen size due to its non-invasive nature and absence of radiation. During an abdominal ultrasound:

• A special gel is applied to the abdomen
• An ultrasound “wand” is moved across the gel-coated area
• Sound waves create detailed images of the spleen and surrounding organs
• Measurements of length, width, and thickness can be taken accurately

This technique not only provides precise measurements of the spleen but can also detect other abdominal abnormalities such as liver dysfunction, kidney stones, or suspicious growths.

Understanding Splenomegaly: When the Spleen Enlarges

Splenomegaly, or an enlarged spleen, is a condition that can arise from various underlying causes. But what exactly constitutes an enlarged spleen, and how is it classified?

Defining Splenomegaly: Size Matters

Medical professionals use specific measurements to categorize spleen enlargement. Based on ultrasound findings, splenomegaly is typically classified as follows:

• Normal (not splenomegaly): Maximum length less than 11 cm
• Moderate splenomegaly: Maximum length between 11-20 cm
• Severe splenomegaly: Maximum length greater than 20 cm

Common Causes of Spleen Enlargement

Several conditions can lead to spleen enlargement. Some of the most frequent causes include:

1. Viral infections (e.g., mononucleosis)
2. Bacterial infections (e.g., syphilis)
3. Blood disorders
4. Liver diseases
5. Certain cancers

Identifying the underlying cause is crucial for appropriate treatment and management of splenomegaly.

The Importance of Spleen Health: Beyond Size Considerations

While spleen size is an important indicator of health, it’s essential to remember that the spleen’s function goes beyond mere dimensions. The spleen plays a vital role in our body’s defense against infections and in maintaining blood health.

Spleen Removal: Living Without a Spleen

In severe cases of spleen dysfunction, removal of the organ (splenectomy) may be necessary. But can a person live without a spleen? The answer is yes, but with some important considerations:

• Increased risk of certain infections
• Need for regular vaccinations
• Importance of maintaining good hygiene practices
• Avoiding contact with individuals who have contagious infections

While life without a spleen is possible, it requires vigilance and proactive health management to compensate for the loss of this important organ.

Monitoring Spleen Health: When to Seek Medical Attention

Given the spleen’s important functions, it’s crucial to be aware of potential issues and know when to seek medical attention. But what signs should you watch for?

Red Flags: Symptoms of Spleen Problems

While an enlarged spleen may not always cause noticeable symptoms, certain signs warrant medical attention:

• Pain or fullness in the upper left abdomen
• Feeling full without eating or after eating only a small amount
• Anemia or easy bleeding
• Fatigue
• Frequent infections

If you experience any of these symptoms, particularly if they persist or worsen over time, it’s important to consult a healthcare professional for proper evaluation.

Preventive Measures: Keeping Your Spleen Healthy

While some spleen issues are unavoidable, there are steps you can take to promote overall spleen health:

1. Maintain a balanced diet rich in fruits and vegetables
2. Stay hydrated
3. Exercise regularly
4. Avoid excessive alcohol consumption
5. Practice safe sports to prevent abdominal injuries
6. Keep up with recommended vaccinations

By incorporating these habits into your lifestyle, you can support your spleen’s function and overall health.

Advancements in Spleen Research: Looking to the Future

As medical science continues to advance, our understanding of the spleen and its functions is constantly evolving. Recent research has shed light on previously unknown aspects of spleen biology and opened up new avenues for diagnosis and treatment of spleen-related conditions.

Emerging Technologies in Spleen Imaging

While ultrasound remains a staple in spleen evaluation, newer imaging technologies are enhancing our ability to assess spleen health. These include:

• High-resolution MRI techniques
• Contrast-enhanced ultrasound
• PET-CT scans for detecting certain spleen abnormalities

These advanced imaging methods provide more detailed information about spleen structure and function, allowing for earlier and more accurate diagnosis of spleen disorders.

The Spleen and Immune System: New Discoveries

Recent studies have uncovered fascinating new roles for the spleen in immune function. Researchers have discovered that the spleen serves as a reservoir for monocytes, a type of white blood cell that plays a crucial role in the body’s response to injury and infection. This finding has important implications for our understanding of immune responses and could lead to new therapeutic approaches for various diseases.

Regenerative Medicine and the Spleen

The field of regenerative medicine is exploring the potential of using spleen cells for therapeutic purposes. Some promising areas of research include:

1. Using spleen-derived stem cells for tissue repair
2. Developing artificial spleens for patients who have undergone splenectomy
3. Harnessing the spleen’s filtering capabilities for blood purification therapies

While many of these applications are still in the experimental stage, they highlight the exciting potential for spleen-based therapies in the future.

Conclusion: The Spleen – Small in Size, Big in Importance

As we’ve explored throughout this article, the spleen may be small in size, but its importance to our health cannot be overstated. From its role in blood filtration to its contributions to our immune system, the spleen performs vital functions that keep our bodies running smoothly.

Understanding normal spleen size and the factors that influence it – such as weight, gender, and age – is crucial for proper health assessment. While slight variations in spleen size are common and often harmless, significant changes can be indicative of underlying health issues that require medical attention.

As medical science continues to advance, our understanding of the spleen and its functions is likely to grow even further. This knowledge will undoubtedly lead to improved diagnostic techniques and treatment options for spleen-related conditions, ultimately contributing to better health outcomes for patients.

Remember, maintaining overall health through a balanced diet, regular exercise, and preventive care can go a long way in supporting your spleen’s function. By taking care of your spleen, you’re investing in your body’s ability to filter blood, fight infections, and maintain overall wellness.

Whether you’re a healthcare professional, a student of medicine, or simply someone interested in understanding more about your body, the spleen serves as a fascinating example of how even small organs can play outsized roles in our health. As we continue to unravel its mysteries, the humble spleen reminds us of the intricate and interconnected nature of human biology.

Normal Spleen Size Depends on Weight and Gender

Overview

Your spleen is a small but hard-working organ hidden behind your stomach and under your diaphragm. It acts as a filter for your blood. Old, damaged, or abnormal red blood cells are caught in a maze of narrow tunnels within the spleen. Healthy red blood cells easily pass through the spleen and continue to circulate in your bloodstream.

The spleen can also filter out certain bacteria or viruses from your blood in support of the body’s immune system. When a disease-causing microorganism enters the bloodstream, your spleen and lymph nodes produce lymphocytes, a type of white blood cell capable of making antibodies to fight infections.

Unlike most other organs in your body, your spleen changes in size throughout your life — usually in response to illness or injury. A viral infection, such as mononucleosis, or a bacterial infection, such as syphilis, are among the conditions that can lead to an enlarged spleen.

The size of a normal, healthy spleen can vary considerably from person to person. Your sex and height can also affect its size. In general, an adult spleen is about 5 inches long, 3 inches wide, 1.5 inches thick, and weighs about 6 ounces.

Women tend to have smaller spleens than men, and taller people tend to have larger spleens than shorter people. In a study in the journal Radiology, researchers suggested that aside from men generally being taller than women, men also typically have greater red cell mass than women.

Your spleen, like the rest of your body, grows with age. Once you reach adulthood, however, your spleen tends to shrink slightly with each passing decade. The following is a list of the upper limit of normal spleen length by age up to 15 years. For boys and girls, there is relatively little difference in size, according to a study published in the American Journal of Roentgenology. The average spleen length by age was up to:

During a physical examination, your doctor can usually tell if your spleen is enlarged. A blood test to check your levels of red blood cells, white blood cells, and platelets may also be ordered to help diagnose the cause of a spleen enlargement.

Imaging tests, including ultrasound, help measure the size of your spleen and whether it’s crowding your other organs.

An abdominal ultrasound is often preferred for evaluating the spleen because it’s easy to do and doesn’t require any radiation. Ultrasound uses sound waves to create images of inside the body on a computer screen. An ultrasound “wand” is rubbed on the outside of the belly, which is coated with a special gel. This gel helps transmit the sound waves through the skin and to the parts inside the body.

Ultrasound can usually measure the length of the spleen along a center line (axis) accurately. It can also measure the width and thickness of the spleen, which can typically tell the doctor whether the organ is abnormally large or small. In most cases, however, the concern is about an enlarged spleen.

An abdominal ultrasound can help detect other conditions, too. Some of them include:

• abnormal liver function
• kidney stones
• gallstones
• enlargement of other organs, such as the liver or gallbladder
• abdominal aortic aneurysm (bulge in the main artery that supplies blood to most of the body)
• tumors or other suspicious growths anywhere in the abdominal area

Slight variances in spleen size are common and not a cause for concern. However, if you suspect your spleen is enlarged or you’re having any organ-related problems, see a doctor soon. If an infection is causing this temporary enlargement of the spleen, the sooner you get it diagnosed and treated, the better.

Treating the underlying cause of your spleen growth will usually cause it to return to a normal, healthy size. In very serious cases of spleen dysfunction, the organ can be removed. You will be at greater risk for infections, but that will only mean it’s even more important to keep up to date with vaccinations and other preventive steps, such as washing your hands thoroughly and regularly or avoiding people who may have a contagious infection.

Ultrasonography of the spleen – radlines.org

Author:
Mikael Häggström ^{[notes 1]}

Contents

• 1 Planning
  • 1.1 Indication
• 2 Evaluation
  • 2.1 Size
  • 2.2 Focal changes
• 3 Report
• 4 Notes
• 5 References

Planning

Indication

Ultrasonography of the spleen is included as a general screening of the upper abdomen, or when specifically requested in the referral.

Evaluation

Size

Maximum length of spleen on abdominal ultrasonography.

A measurement of spleen size is a standard procedure as part of a liver exam, since splenomegaly is a sign of portal hypertension.

Suggested cutoffs are:^[1][2]

• Normal (not splenomegaly): the maximum length is less than 11 cm
• Moderate splenomegaly: the maximum length is between 11–20 cm
• Severe splenomegaly: the maximum length is greater than 20 cm

90% confidence intervals of maximum lengths in the normal population have lower limits between 6. 4 cm (in short women) and 10.2 cm (in tall men), and upper limits between 12.0 and 14.4 cm (respectively):^[3]

Age	Cutoff[4]
3 months	6. 0 cm
6 months	6.5 cm
12 months	7.0 cm
2 years	8.0 cm
4 years	9.0
6 years	9.5 cm
8 years	10.0 cm
10 years	11.0 cm
12 years	11.5 cm
15 years	12.0 cm for girls 13.0 cm for boys

For children, the cutoffs for splenomegaly are given in this table, when measuring the greatest length of the spleen between its dome and its tip, in the coronal plane through its hilum while breathing quietly.^[4]

Focal changes

If the referral mentions the spleen, it is generally appropriate to scan the volume of it for any focal changes, mainly cysts or tumors.

Report

• Even absence of enlargement. If enlarged, state both grade (such as moderate) and maximum length in a number
• If checked, even absence of focal changes.

See also: General notes on reporting

Notes

1. ↑ For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.

References

1. ↑ Neetu Radhakrishnan. Splenomegaly. Medscape. Updated Apr. 2012 (referring the classification system to Poulin et al.
2. ↑ Page 1964 in: Florian Lang (2009). Encyclopedia of Molecular Mechanisms of Disease
   . Springer Science & Business Media. ISBN 9783540671367. 
3. ↑ Chow, Kai Uwe; Luxembourg, Beate; Seifried, Erhard; Bonig, Halvard (2016). “Spleen Size Is Significantly Influenced by Body Height and Sex: Establishment of Normal Values for Spleen Size at US with a Cohort of 1200 Healthy Individuals
   “. Radiology 279 (1): 306–313. doi:10.1148/radiol.2015150887. ISSN 0033-8419. 
4. ↑ ^{4. 04.1}Rosenberg, H K; Markowitz, R I; Kolberg, H; Park, C; Hubbard, A; Bellah, R D (1991). “Normal splenic size in infants and children: sonographic measurements
   “. American Journal of Roentgenology 157 (1): 119–121. doi:10.2214/ajr.157.1.2048509. ISSN 0361-803X. 

Ultrasound examination of the spleen

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Ultrasound of the spleen – is a method that uses an ultrasound signal to examine the spleen.

The spleen – is an organ that performs several important functions in the body. In the spleen, the formation of certain blood cells, as well as the renewal of some of them. In addition, the spleen is also part of the immune system.

Thus, a hematologist (if a blood disease is suspected), a gastroenterologist, a therapist (if an increase in the size of this organ is detected), an allergist-immunologist (if a disease of the immune system is suspected) can give a referral for an ultrasound examination of the spleen ), an infectious disease doctor (if you suspect some infectious diseases, for example: typhoid fever, mononucleosis, etc. ).

What is the diagnostic value of ultrasound examination of the spleen?

Ultrasound can determine:

1. Size of the spleen (increase or decrease in the size of the organ).
2. Organ location
3. Fabric density
4. Presence or absence of pathological inclusions.
5. Spleen capsule integrity
6. Presence or absence of malignant neoplasms of the spleen.
7. Organ blood flow (examination of arteries and veins).
8. Presence or absence of infarction (areas of ischemia and necrosis) of the spleen.

Is it necessary to follow a diet before ultrasound of the spleen?

Due to the fact that the spleen is an organ located in the abdominal cavity, this examination should be performed on an empty stomach.

If the procedure is scheduled for the morning, then you can not take breakfast, and if the procedure is scheduled in the afternoon, the last meal should be no later than 6 hours before the ultrasound examination.

If a person is not on a diet, but is admitted to hospital urgently and needs an ultrasound of the spleen, will they have this scan?

Of course, if there are indications (suspicion of rupture of the spleen capsule, suspicion of intra-abdominal bleeding), an ultrasound examination is mandatory, regardless of whether the patient took food before the examination or not.

How does the examination usually go?

For examination of the spleen, the patient is asked to remove outer clothing to the waist, lie on his back. Sometimes, for a more detailed examination, the patient may be asked to turn on their right side. This is necessary in order to increase the viewing angle of the left hypochondrium, just where the spleen is normally located.

What is the normal size of the spleen?

The normal dimensions of the organ are in the range: length from 11-12 cm, width 6-8 cm, thickness 4-5 cm (in an adult).

Where should the spleen normally be located?

The spleen is normally located in the region of the left hypochondrium between the 9th and 11th ribs. However, there may be pathological options: the spleen may be displaced, a person may have an additional smaller spleen (the so-called splenitis), in addition, in some very rare cases, the spleen may be completely absent (or as a variant of a congenital anomaly of development, or due to surgical removal of the organ in the patient’s history).

Why is such an indicator as the “density” of the spleen tissue examined?

In some diseases (eg, leukemia, mononucleosis), the density of the spleen tissue may be increased. It is for this reason that it is important to examine the density of the fabric in order to understand all the subtleties and nuances.

Why is the integrity of the spleen capsule examined?

Ultrasound can reveal rupture of the spleen capsule, bleeding from the vessels of the spleen, hematoma under the capsule. As a rule, all these conditions are considered urgent and require emergency surgical care. It is for this reason that it is very important to correctly diagnose in time in order to save the patient’s life and prevent further blood loss and hemorrhagic shock.

Is it possible to determine the presence of a spleen tumor by ultrasound?

Yes, thanks to ultrasound diagnostics, tumor-like neoplasms in the spleen tissue (cysts, malignant tumors) can be seen. In addition, a significant diagnostic point is the determination of not only the tumor, its size, but also the presence of blood flow in the tumor tissue (how well the tumor is supplied with blood). To do this, dopplerometry of the vessels of the spleen is used, which makes it possible to assess the speed of blood flow and the presence of pathological vessels in this area.

Why is the examination of the spleen vessels performed?

Ultrasonography provides an opportunity to assess whether there are aneurysms or vascular anomalies. Normally, the diameter of the splenic vein is 5 mm, the splenic artery is 1-2 mm.

Ultrasound is one of the most informative research methods that has many advantages, namely: there is no complicated preparation for the method, it does not harm the patient, the study is available to the patient (if there is a referral, ultrasound can be carried out free of charge according to compulsory medical insurance).

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Ultrasound of the spleen: normal, size of the spleen in children by ultrasound

CONTENTS

1. Where is the spleen located?
2. Enlargement of the spleen in a child
3. Preparation for ultrasound of the spleen
4. Measurements of the spleen by ultrasound in children and adults
5. What is the danger of an enlarged spleen in a child?

Despite the fact that the absence of the spleen in general does not affect the general well-being and a person without a spleen can live in peace, its removal is not a catastrophe for the body. But the spleen is still a very important organ for many reasons – it fights against diseases of the blood and bone marrow, participates in the formation of humoral immunity (when the body’s defense system produces special antibodies that fight infections) and cellular immunity (cellular immunity is responsible for resisting bacterial and viral infections). It is also involved in the metabolism of iron, lipids, proteins and carbohydrates.

Where is the spleen located?

The spleen is located in the region of the left hypochondrium, between the diaphragm and the stomach at the level of the 9th to 11th ribs. Unlike adults, in children the spleen is not fully closed by the ribs and is less protected from external influences (shocks).

Where is the spleen located

The spleen develops throughout life and due to the proportional increase in the size of the spleen during the growth of the child, its shape does not actually change. But sometimes the spleen in both adults and children is enlarged.

Enlargement of the spleen in a child

Ultrasound is considered one of the best methods for diagnosing the condition of the spleen. An enlarged spleen can be detected during an abdominal ultrasound. On palpation, the spleen in children with normal size cannot be detected. It is palpable if it is increased by 1. 5-2 times compared to the age norm. Its increase is called splenomegaly .

Splenomegaly can be detected in any disease that provokes lymphadenopathy – an increase in lymph nodes. But the most common causes of an enlarged spleen are infectious inflammations (especially with typhoid fever, hepatitis, infectious mononucleosis, etc.), oncological, hematological diseases and liver damage. An increase in the organ is observed as a complication of anemia and rickets.

Splenomegaly can often be the only indicator of congenital cytomegalovirus infection in newborns.

Preparing for an Ultrasound of the Spleen

Preparing for an Ultrasound of the Spleen is the same as for a similar examination of the abdomen. Do not eat or drink for 8 hours before the examination. Children, if conditions permit, should refrain from eating and drinking for 3 hours before the study. It is advisable to stop taking foods that promote gas formation 2-3 days before the ultrasound (sweets, legumes, cabbage, wheat bread, muffins, milk, etc. ).

Preparation for ultrasound involves taking enterosorbents such as lactofiltrum, activated charcoal, smecta for several days before it. These drugs are taken one tablet two to three times a day. The intake of enterosorbents is necessary in order to completely avoid gas formation, which can greatly complicate this study.

Ultrasound of the spleen

The ultrasound of the spleen itself lasts five to ten minutes. During ultrasound, the subject does not feel any discomfort, and there are no contraindications to ultrasound examination. First, the ultrasound doctor scans the organ in a position where the subject is lying on his back, and then lying on his right side.

Ultrasound measurements of the spleen in children and adults

It is desirable that the spleen be scanned in three linear dimensions, which is considered more accurate than two linear dimensions. Demand from the sonographer in the digital data scanning protocol, and not just a description – “enlarged” or “not enlarged”, this will allow you to observe changes in the size of this organ in dynamics.

In ultrasound examination, the size of the spleen in children directly depends not only on age, but also on its height.

Dimensions of the spleen and diameter of the splenic vein according to ultrasound, depending on the height of the child

Height, cm	Length (mm)	Width (mm)	Thickness (mm)	Splenic vein (mm)
60-69	54.60 ± 6.77	26.20 ± 3.56	24.33 ±3.79	3.27 ± 0, 64
70-79	62.07 ± 5.79	28.36 ± 3.86	25.00 ± 3.46	3.02 ± 0.39
80-89	67.06 ± 4.97	31.18 ±3.50	27.63 ± 4.0 0	3.06 ± 0 .42
90-99	70.85 ±7.10	34.21 ±3.80	33.00 ± 4.45	3.47 ± 0.52
100 -109	73.14 ±7.20	36.25 ± 3.67	32. 78 ± 3.76	3.96 ± 0.76
110-119	76.90 ±6.12	37.66 ± 3.85	35.09 ±5.19	4.22 ± 0.60
120-129	83.97 ± 7.44 .92	35.67 ± 5 .03	4.62 ± 0.75
130-139	88.86 ± 9.30	41.86 ±5.81	38, 80 ± 6.02	4.92 ± 0.53
140-149	92.20 ±9.21	44.98 ± 5.49	40.34 ± 4.99	5.40 ± 0.68
150 -159	98.11 ±9.58	46.50 ±5.17	42.46 ± 5.49	5.46 ± 0.82
160-169 901 76	102.44 ±8, 62	48.96 ± 5.59	45.52 ± 5.35	5.76 ±0.91
more 9.25	51.60 ±6 ,81	46.03 ± 5.29	6.10 ±0.68

Why is an enlarged spleen in a child dangerous?

Enlargement of the spleen is not an independent disease, but the result of a number of diseases that are not diagnosed by ultrasound and require consultation not only of a pediatrician, but also of a number of other specialists.