Measurement of Normal Spleen in Pediatrics Using Ultrasonography

Abstract

This was a cross-sectional descriptive study counted out at Omdurman pediatric

Hospital from January to July 2019, which aims to evaluate the spleen size in

pediatric. 70 subjects were enrolled in the study; persons who referred to

ultrasound department for abdomen ultrasound were included. Any person

suspected with abnormal splenic measurement by ultrasound examination was

excluded .The population of this study includes (35 males and 35 females) aged (1

– 16 years)

Trans- abdominal scanning was done for all cases using ESAOTI Ultrasound

machine with curve linear probe (3.5 MHz). Data collected using a special data

collection sheet designed to assess the child's age, weight and height, spleen

dimension (length width and thickness).

The result of the study revealed that the splenic measurements were (length 6.92 ±

1.63176 cm, width 3.1716 ± 0.711 cm and thickness 2.64 ± 0.55 cm, a roughly

linear correlation between splenic length and age (r = 0.7) was found for the total

group of children. Likewise, good correlation was found between splenic length

and patient’s height (r = 0.7) and weight (r = 0.68). No statistically significant

difference was seen between boys and girls, where males had slightly longer

spleens than females, generally correlating with their larger size overall.

Determination of pathologic changes in size of spleen necessitates knowing the

normal range of dimensions in healthy neonates, infants, and children. Presented

data are applicable in daily routine Sonography. Body height should be considered

the best criteria to correlate with longitudinal dimensions of the spleen.