ABSTRACT
Background: Knowledge of the normal range of spleen size in the population being examined is very important because there are many different pathological conditions that may alter in spleen size. Also, gender, height, weight and BMI of individual, affect the splenic length and could result in incorrect interpretation of splenic measurements, spleen to left kidney ratio is one of recent parameter mention in literature aid in diagnosis of splenomegaly in children.Methods: The study was a cross-sectional study conducted in Khartoum state at Al-Buluk and Gaafar Ibnauf Paediatric Tertiary Hospital during the period from March 2018 to August 2018. A total of 101 children (males and females) with aged ranged 1 month to 5 years included in study. A transabdominal scan was performed, and measurement of spleen and left kidney taken after an ethical verbal consent from their parents, then data analyzed by SPSS, Mean±SD. Deviation for study variables calculated then correlation between patients factors and ultrasound measurements done.Results: The study found that the mean measurements of the normal size of the spleen and spleen to left kidney ratio for children up to five years of age, Splenic length was 7.24±1.12 cm, width was 3.83±0.81 cm , thickness 2.91±0.55 cm and spleen to left kidney ratio was 1.04±0.0.70 ranged (0.86-1.23). The male have larger spleen than female with no statistically significant differences in spleen sizes between the sexes. There was a strong significant correlation between age, weight, height spleen and left kidney length (p<0.01)respectively and a moderate association with BMI (p<0.05).Conclusions: Spleen and left kidneys was growing rapidly and similarly in infant up to one year of life 1 mm\1 mm for each month and then decreasing growth rate of kidney in relate to spleen for 1 mm growth of spleen kidney grow 0.8 mm in up to five years of age. There was strong significant positive correlation between spleen and left kidney measurement with age, height, weight of individual. The spleen to left kidney ratio for children up to five years ranged (0.86-1.23) with mean 1.04, so if the ratio less or more than this ranged it should be considered in clinical context for diagnosis of splenomegaly or shrunken spleen in children up to five years of age.
ABSTRACT
Background: Spleen length vary with age. Various diseases can affect their size. Palpation and percussion arestandard bedside techniques to document but are far from accurate to detect small increases in size.Anthropometric variations are found in different populations, races and regions. Sonography is effective forimaging soft tissues of body. Ultrasound is an extremely important imaging method in evaluation of spleenlength in children due to the fact that it is easy to use, non invasive, safe, quick and accurate. In present study,aim is to evaluate correlation of spleen length with age and weight in female children.Objective: To know whether there is any correlation between the normal spleen length with age and weight infemale children.Materials and methods: The present study is cross-sectional in nature and conducted in Government MedicalCollege and District Hospital, Bidar. Sample size of 260 cases were taken between the age group of 1 to17 years,(infancy to middle adolescence period) living in North-east part of Karnataka. Baseline data including the age,sex and weight were recorded for all the children in a structured performa. All the children underwent anultrasonographic assessment of the spleen length by using a Philips HDI 4000, 200-240V -5A, 50/60HZ system.Observations obtained in respect with all the variables were tabulated and shown by using Scatter plots.The findings was then statistically analysed and “p” value determined.Results: The mean spleen length is lesser in females in all age groups and it increases in older children in the agegroup of 10-13yrs and 14-17 yrs among females. Spleen length highly correlated with age and weight in femalechildren.Conclusion: The methods of measurement and analysis used in this study is standardized and easy to apply. Theresults of this study can be used in radiology and pediatric departments as a practical and comprehensive guideto indicate the normal spleen length range for every child, according to her age and body habitus
ABSTRACT
The current study was undertaken to determine normal spleen dimensions and anthropometric evaluation by ultrasonography from females and males in our population. These measurements were taken using an ultrasonography. The mean values of the age, height, weight and body mass index (BMI) of subjects, spleen width (SW), spleen length (SL), spleen thickness (ST) and spleen volume calculated with elipsoid formula; length x width x thickness x 0.524 were taken. These measurements were found to be 36.37±10.83 years, 164.22±4.72 cm, 60.26±7.11 kg, 22.30±2.09 kg/m2, 7.58±1.56 cm, 9.87±1.28 cm, 3.34±0.79 cm and 136.05±61.14 cm3 in females respectively. Additionally, in males same dimensions were 40.50±12.77 years, 174.41±6.57 cm, 76.33±8.54 kg, 25.06±2.10 kg/m2, 8.75±1.84 cm, 11.01±1.186 cm, 4.12±1.09 cm and 220.70±115.35 cm3 respectively. The observations presented in this report have defined anatomic parameters about spleen size that need to be taken into consideration for reference data to determine population discrepancies and helpful for radiologists and clinicians.
El objetivo fue determinar las dimensiones normales del bazo y realizar una evaluación antropométrica mediante ecografía en mujeres y hombres turcos. Fueron calculados los valores medios de edad, altura, peso, índice de masa corporal (IMC), ancho del bazo (AB), longitud del bazo (LB) y grosor del bazo (GB), junto al volumen del bazo mediante la fórmula elipsoide (largo x ancho x grosor x 0,524). Las mujeres presentaron una edad de 36,37±10,83 años, altura de 164,22±4,72 cm, peso de 60,26±7,11 kg, IMC de 22,30±2,09 kg/m2, AB de 7,58±1,56 cm, LB de 9,87±1,28 cm, GB de 3,34±0,79 cm y volumen del bazo de 136,05±61,14 cm3. Los hombres presentaron una edad de 40,50±12,77 años, altura de 174,41±6,57 cm, peso de 76,33±8,54 kg, IMC de 25,06±2,10 kg/m2, AB de 8,75±1,84 cm, LB de 11,01±1,186 cm, GB de 4,12±1,09 cm y volumen del bazo de 220,70±115,35 cm3. Nuestras observaciones han definido parámetros anatómicos sobre el tamaño del bazo, los cuales deben ser considerados como datos de referencia para determinar las discrepancias en la población, de utilidad para radiólogos y clínicos.