If after all the studies do not reach a diagnosis it could

Assessment of patients with splenomegaly

If after all the studies do not reach a diagnosis it could be seen performing a splenectomy. Splenic fine needle aspiration is not routine practice for the high risk of complications.

CONCLUSIONS

1. The finding of splenomegaly patient justifies the study to rule out pathology, although not all palpable spleens have a pathological significance.

2. The most frequent causes of young esplenomegalias include infections, chronic hemolytic anemia and less frequently storage diseases. In adults are the main causes of portal hypertension and blood diseases.

3. It is important to consider clinical situations associated to orient the patient study methodology.

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