EDITOR'S QUIZ: GI SNAPSHOTS: An unusual case of hepatosplenomegaly

Spiller, Robin; Joshi, D.; Dunga, J.; James, A.; Yaqoob, M. M.
September 2005
Gut;Sep2005, Vol. 54 Issue 9, p1272
Academic Journal
The article presents a quiz related to the diagnosis of hepatosplenomegaly. It describes that case of a 21 year old Asian female suffering from impaired renal function. Physical examination elicited hepatosplenomegaly. There were no other positive findings. Urine analysis was unremarkable. Laboratory investigations demonstrated a microcytic anaemia, with depressed total white cell and platelet counts, consistent with hypersplenism. Normal synthetic liver function was noted. Abdominal ultrasound demonstrated normal sized kidneys with hepatosplenomegaly and a dilated extrahepatic common bile duct.


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