Evaluation of Normal Spleen Volume using Ultrasonography

Evaluation of Normal Spleen Volume using Ultrasonography

Authors

  • Syeda Doaa Zainab University Institute of Radiological and Medical Imaging Sciences, The University of Lahore, Gujrat Campus
  • Akash John University Institute of Radiological and Medical Imaging Sciences, The University of Lahore, Gujrat Campus
  • Abid Ali Department of Allied Health Sciences, The University of Lahore, Gujrat Campus
  • Syed Naqi Abbas University Institute of Radiological and Medical Imaging Sciences, The University of Lahore, Gujrat Campus
  • Warda Kiran University Institute of Radiological and Medical Imaging Sciences, The University of Lahore, Gujrat Campus

DOI:

https://doi.org/10.54393/pjhs.v3i01.52

Keywords:

Ultrasonography, Spleen, Volume, Doppler, Thickness

Abstract

The largest organ in the abdomen is the spleen, also called the lymphoid organ. Its major function is to purify the blood and provide immunity. Objective: To evaluate and measure normal splenic volume on ultrasound. Methods: A cross-sectional study was conducted at the radiology department of Gujranwala, Pakistan. A sample size of 150 participants was taken from previously published articles from January 2022 to March 2022. The sample size was taken with the inclusion of normal healthy adults and exclusion of splenomegaly after informed consent. TOSHIBA ultrasound equipment was used with a convex transducer having a frequency of 3.5MHz. The data was entered and analyzed using SPSS version 22. Results: The results show that most participants were between the age of 30 to 39years 55(36.7%). The female participants 94(62.7%) were more than the males 56(37.3%). The length, width, and thickness of the spleen are shown in the tables respectively. The splenic volume seems to be 174cm3 in most participants. Conclusion: Ultrasound is the most accurate, cheap, portable, and easily available modality for measuring spleen volume, which can be measured by using different approaches.

References

Lewis SM, Williams A, Eisenbarth SC. Structure and function of the immune system in the spleen. Science Immunology. 2019 Mar; 4(33):eaau6085. doi: 10.1126/sciimmunol.aau6085.

Joseph OS, Builders M, Isinkaye DR, Sebastine AZ, Musa T, Oyepata JP, et al. Sub-Acute Toxicity Study of Ethanol Leaf Extract of Terminalia chebula On Brain, Stomach and Spleen of Wister Rats. 2019.

Mahadevan V. Anatomy of the pancreas and spleen. Surgery (Oxford). 2019; 37(6):297-301. doi.org/10.1016/j.mpsur.2019.04.008

Papenfuss TL, Cesta MF. Spleen. Immunopathology in toxicology and drug development: Springer; 2017;37-57.

Chakraborti S, Saha N, Debbarma B, Das S, Leishram D. Normal spleen length by ultrasonography in adults of Tripura. IOSR Journal of Dental and Medical Science. 2016; 15(1):55-60.

Çeliktas M, Özandaç Polat S, Göker P, Bozkir M. Sonographic determination of normal spleen size in Turkish adults. International Journal of Morphology. 2015; 33(4).

Crane GM, Liu Y-C, Chadburn A, editors. Spleen: Development, anatomy and reactive lymphoid proliferations. Seminars in Diagnostic Pathology. 2021 Mar; (2):112-124. doi: 10.1053/j.semdp.2020.06.003.

Khan SA, Yasmeen S, Adil H, Adil SO, Huda F, Khan S. Sonographic evaluation of normal liver, spleen, and renal parameters in adult population: a multicenter study. Journal of the College of Physicians and Surgeons Pakistan. 2018 Nov; 28(11):834-839. doi: 10.29271/jcpsp.2018.11.834.

Luu S, Spelman D, Woolley IJ. Post-splenectomy sepsis: preventative strategies, challenges, and solutions. Infection and Drug Resistance. 2019 Sep; 12:2839-2851. doi: 10.2147/IDR.S179902.

Börner K, Teichmann SA, Quardokus EM, Gee JC, Browne K, Osumi-Sutherland D, et al. Anatomical structures, cell types and biomarkers of the Human Reference Atlas. Nature cell biology. 2021;23(11):1117-28. 2021 Nov; 23(11):1117-1128. doi: 10.1038/s41556-021-00788-6.

Varga I, Babala J, Kachlik D. Anatomic variations of the spleen: current state of terminology, classification, and embryological background. Surgical and Radiologic Anatomy. 2018 Jan; 40(1):21-29. doi: 10.1007/s00276-017-1893-0.

Bajwa SA, Kasi A. Anatomy, abdomen and pelvis, accessory spleen. StatPearls [Internet]: StatPearls Publishing; 2021.

Pelizzo G, Guazzotti M, Klersy C, Nakib G, Costanzo F, Andreatta E, et al. Spleen size evaluation in children: Time to define splenomegaly for pediatric surgeons and pediatricians. PloS one. 2018 Aug; 13(8):e0202741. doi: 10.1371/journal.pone.0202741.

Kopystecka A, Lipińska J, Kopeć I, Lipiński Ł, Woźniak M, Jędrzejewski G. Polysplenia and other anatomical variants of the spleen. Journal of Education, Health and Sport. 2022; 12(3):128-38. doi.org/10.12775/JEHS.2022.12.03.011

Di Serafino M, Verde F, Ferro F, Vezzali N, Rossi E, Acampora C, et al. Ultrasonography of the pediatric spleen: a pictorial essay. Journal of ultrasound. 2019 Dec; 22(4):503-512. doi: 10.1007/s40477-018-0341-2.

Calle‐Toro JS, Back SJ, Viteri B, Andronikou S, Kaplan SL. Liver, spleen, and kidney size in children as measured by ultrasound: a systematic review. Journal of Ultrasound in Medicine. 2020; 39(2):223-230. doi: 10.1002/jum.15114.

Morozov SV, Izranov VA. Methods of Ultrasound Spleen Morphometry. Journal of Ultrasound in Medicine. 2021 Nov 30. doi: 10.1002/jum.15901.

Badran DH, Kalbouneh HM, Al-Hadidi MT, Shatarat AT, Tarawneh ES, Hadidy AM, et al. Ultrasonographic assessment of splenic volume and its correlation with body parameters in a Jordanian population. Saudi medical journal. 2015 Aug; 36(8):967-72. doi: 10.15537/smj.2015.8.11809.

Laman M, Aipit S, Bona C, Siba PM, Robinson LJ, Manning L, et al. Ultrasonographic assessment of splenic volume at presentation and after anti-malarial therapy in children with malarial anaemia. Malaria Journal. 2015 May; 14:219. doi: 10.1186/s12936-015-0741-0.

Paul FN, Taher MA, Roy SK, Sarkar S, Sultana S. Splenic volume: Correlation between ultrasonogram and standard CT measurements. Bangladesh Medical Research Council Bulletin. 2017; 43(2):58-62.

Megremis SD, Vlachonikolis IG, Tsilimigaki AM. Spleen length in childhood with US: normal values based on age, sex, and somatometric parameters. Radiology. 2004 Apr; 231(1):129-34. doi: 10.1148/radiol.2311020963.

Li C, Quintini C, Hashimoto K, Fung J, Obuchowski NA, Sands MJ, et al. Role of Doppler sonography in early detection of splenic steal syndrome. Journal of Ultrasound in Medicine. 2016 Jul; 35(7):1393-400. doi: 10.7863/ultra.15.06072.

Ishibashi H, Higuchi N, Shimamura R, Hirata Y, Kudo J, Niho Y. Sonographic assessment and grading of spleen size. Journal of clinical ultrasound. 1991 Jan; 19(1):21-5. doi: 10.1002/jcu.1870190106.

Tarantino G, Citro V, Balsano C. Liver-spleen axis in nonalcoholic fatty liver disease. Expert review of gastroenterology & hepatology. 2021 Jul; 15(7):759-769. doi: 10.1080/17474124.2021.1914587.

Colecchia A, Marasco G, Taddia M, Montrone L, Eusebi LH, Mandolesi D, et al. Liver and spleen stiffness and other noninvasive methods to assess portal hypertension in cirrhotic patients: a review of the literature. European journal of gastroenterology & hepatology. 2015 Sep ;27(9):992-1001. doi: 10.1097/MEG.0000000000000393

Downloads

Published

2022-06-30
CITATION
DOI: 10.54393/pjhs.v3i01.52
Published: 2022-06-30

How to Cite

Doaa Zainab, S. ., John, A. ., Ali, A. ., Naqi Abbas, S. ., & Kiran, W. . (2022). Evaluation of Normal Spleen Volume using Ultrasonography: Evaluation of Normal Spleen Volume using Ultrasonography. Pakistan Journal of Health Sciences, 3(01), 21–24. https://doi.org/10.54393/pjhs.v3i01.52

Issue

Section

Original Article

Plaudit

Most read articles by the same author(s)

1 2 > >>