Ultrasonic Measurement of Normal Splenic Size in Infants and Children in Pediatric Indian Population


  • Nita A Tanna GMERS Medical College, Gandhinagar, Gujarat
  • M V Ambiye T. N. Medical College, Mumbai
  • Vilpa A Tanna PDU Government Medical College, Rajkot
  • Himanshu A Joshi GMERS Medical College, Gandhinagar, Gujarat


Splenomegaly, splenic size, Ultrasonography, Paediatric population


Background: No two individuals are alike in this world, not even identical twins. In children, knowledge of normal splenic size (splenic length) in relation to age and other biometric parameters (height and weight) of physical growth is of paramount importance for the determination of mild splenomegaly.

Objectives: The purpose of this study is to measure normal splenic size in infants & children in Indian population by ultrasonography; to establish correlation of splenic size with age, height and weight.

Methods: The present study was conducted in the departments of Anatomy, Radiology and Paediatrics at a General Public Charitable Hospital, Mumbai. The study group consisted of 80 children of both sexes, who were referred to the Radiology department for ultrasonography for abdominal and/or pelvic problems unrelated to the spleen. The splenic length was measured by a radiologist using a commercially available real time ultrasound system with a TOSHIBA ECOCEE USG SYSTEM particularly by using the convex probe.

Results: In the present study, p value is less than 0.001 for all - age with splenic size, splenic size with height, splenic size with weight indicate significant correlation of slenic size with age, height and weight.

Conclusion: I believe this study shall stand as a good reference to Radiologists and Paediatricians in early diagnosis as well as undiagnosed and complicated disorders involving the spleen.


Bailey and Love’s Short Practice of Surgery: 22nd edition, Page No. 721-730.

Gray’s Anatomy: The Anatomical Basis of Clinical Practice. 38th edition, Page No. 1437-1442.

Zhang B, Lewis SM: A study of the reliability of clinical palpation of the spleen. Clin. Lab Haematol 1989; 11: 7-10 (Medicine).

Francis Mimouni, MD, Paul Merlob MD : Palpable spleens in newborn term infants. Clinical Paediatrics April 1985; 197-198.

Nelson essentials of Paediatrics. Textbook of Paediatrics : 17th edition, Page No. 1675-1676.

Stylianos D. Megremis, MD, PhD, Ioannis G., Vlachonikolis, MA, D Phil and Amalia M. Tsilimigaki, MD: Spleen length in childhood with US: Normal values based on age, sex and somatometric parameters. Radiology 2004; 231: 129-134.

McGregor L. Synopsis of Surgical Anatomy 12th edition. Page No. 106-113.

Palmer P.E.S. Manual of diagnostic ultrasound. Published by the World Health organization in collaboration with the World Federation for Ultrasound in Medicine and Biology : 1995. Page No. 3-287.

Rosenberg HK, Markowitz RI, Kolberg H, Park C, Hubbard A, Bellah RD : Normal splenic size in infants and children : onographic measurements. AJR 1991; 157: 119-121.

Oznur L. Konus, Aysegul Ozdemir, Alaadin Akkaya, Gonca Erbas, Hacl Celik, Sedat Isik : Normal liver, spleen and kidney dimensions in neonates, infants and children : Evaluation with sonography. AJR (Dec 1998) 171: 1693-1698.

William K. Loftus Constantine Metreweli. Ultrasound assessment of mild splenomegaly : spleen / kidney ratio. Paedtr Radiol (1998) 28 : 98-100.

Rumack C. M. : Diagnostic ultrasound. 3rd edition, Page No. 3-34, and 147-170.

Niederau C, Sonnenberg A. Muller JE Erckenbrecut JF, Scholten T, Fritsch WP: Sonographic measurements of the normal liver, spleen pancreas and portal vein. Radiology 1983; 149: 537-540.

Dittrich M. Milde S, Dingkel E, Baumann W, Weitzer D : Sonographic biometry of liver and spleen size in childhood. Paediatr Radio 1983; 13: 206-211.

Frank H. Deland M.D: Normal spleen size. Radiology December 1970; 97: 589-592.

Hiromi Ishibashi, MD, Noriaki Higuchi, MD, Sonographic assessment and grading of spleen size. J Clin Ultrasound January 1991; 19: 21-25.

Takashi Koga, M.D., and Yuklo Morikawa M.D.: Ultrasonographic determination of the splenic size and its clinical usefulness in various liver diseases. Radiology April 1975; 115: 157-161.

Ross M. H. Ph. D. : Histology – A text and atlas, 3rd edition, Page No. 349-353.

Moore K. L.: Clinically oriented anatomy, 4th edition, Page No. 256-257.

Snell R. S. MD, Ph. D.: Clinical Anatomy, 7th edition, Page No. 276-279.

J.A. Markisz, ST Treves and R.T. Davis - Normal hepatic and splenic size in children: Scintigraphic determination. Paediatr Radiol (1987) 17: 273-276.

Nimeh W. : New method for the determination of the size of the liver and spleen. Am J gastroenterol 1955, 23 : 147-156.

P. Prassopoulos and D. Cavouras. CT assessment of normal splenic size in children. Acta Radiologica (1994) 35: 152-154.




How to Cite

Tanna NA, Ambiye MV, Tanna VA, Joshi HA. Ultrasonic Measurement of Normal Splenic Size in Infants and Children in Pediatric Indian Population. Natl J Community Med [Internet]. 2012 Sep. 30 [cited 2023 Mar. 25];3(03):529-33. Available from: https://njcmindia.com/index.php/file/article/view/1758



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