Dr Nitu Sharma , Dr Shivaji Poudel , Dr Ganga Datta Adhikari, Mr.Suman Gnawali

Department of Radio-Diagnosis, Imaging and Nuclear Medicine, B.P. Koriala Memorial Cancer Hospital, Bharatpur, Nepal

*Corresponding Author: Dr Nitu Sharma, Department of Radio-Diagnosis, Imaging and Nuclear Medicine, B.P. Koriala Memorial Cancer Hospital, Bharatpur, Nepal.

Received: June 03, 2025; Published:June 24, 2025

Abstract

Objective: This study aims to establish a normal range of values using ultrasonography and its correlation with age, gender, and body mass index and determine the prevalence of accessory spleens among healthy adult Nepalese.

Material and Methods: A total of 70 healthy volunteer ages 20-40 years, from B P Koirala Memorial Medical Cancer Centre were included in the study. Sonographic measurements of spleen length, width and thickness were performed among the 70 healthy volunteers. Presence of accessory spleen was also determined. In addition, the height, weight and body mass index were recorded. Using linear regression analysis, the relation of spleen length, width, thickness and body height, weight and body mass index was evaluated. The prevalence of accessory spleen detected on ultrasound was calculated.

Results: The mean age + standard deviation (SD) of subject was 28.2 +7.2years (range: 20-40), mean body height 160.7 + 7.5 cm, mean body weight 62.2 + 12.4 kg in our study group. In terms of BMI classification, most of the subjects are normal 53.6% of them. The mean spleen length 8.50 + 1.3 cm, mean spleen width 6.80 + 1.1 cm, and mean spleen thickness was 4.0 + 0.9 cm. In this study, results show that age is significantly affecting the spleen length (p = 0.0013) relationship is positively linear. Likewise, height and weight are also significant resulting Pearson r of 0.2959 and 0.2754 respectively.

As to width of the spleen, age and BMI are not significantly related while height and weight are significantly affecting the splenic width with Pearson r of 0.2404 and 0.1554 respectively. In splenic thickness, no significant relation as to age and BMI, but height significantly affect resulted a Pearson r of 0.3327. The prevalence of accessory spleen was determined as 2.9%

Conclusion: It was found that among healthy Nepalese adult mean spleen length was 8.50 + 1.3 cm. This data should be taken in consideration when the diagnosis of splenomegaly is established in adult Nepalese.

Keywords: Splenomegaly; Ultrasonography; Prevalence of Accessory Spleen

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Citation

Citation: Dr Nitu Sharma., et al. “Sonographic Determination of Normal Spleen Size and Prevalence of Accessory Spleen among Healthy Adult Nepalese in B P Koirala Memorial Medical Cancer Center".Acta Scientific Gastrointestinal Disorders 8.7 (2025): 46-52.

Copyright

Copyright: © 2025 Dr Nitu Sharma., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.