What Does The Abdominal Ultrasound Report Indicate?

Posted on Tue, 25 Jul 2017

Question: Hi, a cousin of mine aged 22 yrs was suffering from delayed periods and head ache since 2-3 yrs. She had recently taken an USG abdomen which revealed as Spleenomegaly, Large PCOD, Mild pelvic inflammation. When she had taken an usg abdomen 7 months back, the spleen was "enlarged at 7.5 cm" . However in the current USG it shows that the spleen is enlarged as 12.5 cm. Can you pls suggest on this. Is this something fatal? should we undergo more tests

Answered by Dr. Deepti Verma (55 minutes later)

Brief Answer:
Splenomegaly should be diagnosed

Detailed Answer:
Hi dear,
I have gone through your question and understand the concerns.
Splenomegaly of 12.5 cm can be present in various conditions like chronic malaria, kala azar, various infections, blood diathesis, typhoid, leukemia, lymphomas.
Therefore a detailed investigation. work up including
-complete blood counts
-Peripheral blood smear
-Tests for malarial parasite and kala azar
-Typhoid IgM
should be done to confirm the diagnosis and further treatment should be done accordingly.
For polycystic ovaries, she can take treatment as per the symptoms like menstrual complains, acne or hair growth on face, hands and thighs.
At this point, urgent attention and treatment is required for splenomegaly.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN

Above answer was peer-reviewed by : Dr. Nagamani Ng