HAEMATOETIOLOGICAL EVALUATION OF SPLENOMEGALY

BACKGROUND: Splenomegaly is usually the result of an underlying disorder.Causes ranging from infections to haematological malignancies. AIMS AND OBJECTIVES : Present study aims to find out the frequency of various haematological causes of splenomegaly and to study its haematological parameters .MATERIAL AND METHODS: This descriptive case series study was carried out at Department of Medicine at Nri General Hospital from 1st March 2019 to 31st August 2019,over a period of six months. 100 patients older than 13 years of age with clinically enlarged spleen were selected for this study. Sampling technique is Non propability convinient sampling. After getting informed consent from the patients proforma filled elaborating history, important clinical findings and investigations like abdominal ultrasound , complete blood picture , liver function tests , virals were performed.RESULTS: Males (57%) are most commonly affected than females (43%). The most common age group in males was 41-50 yrs and females was 21-30 yrs. The maximum cases were identified with moderate splenomegaly.Among the haematological causes 57% were leukemias,of which 30% were chronic and 27% were acute .CONCLUSION : Splenomegaly in a symptomatic person should always be investigated thoroughly as most of the cases are treatable. Haematological parameters with enlarged spleen is utmost important as an additional tool in evaluating the etiopathogenesis of splenomegaly.