Skip to main content
Log in

Normal values of liver and spleen size by ultrasonography in Indian children

  • Research Paper
  • Published:
Indian Pediatrics Aims and scope Submit manuscript

Abstract

Objectives

To establish normative data for the ultrasonographic measurement of liver and spleen size in healthy Indian children.

Setting

Tertiary-care pediatric teaching hospital.

Design

Cross-sectional, hospital-based study.

Participants

597 healthy children between the ages of 1 month to 12 years.

Measurements

Ultrasonographic evaluation for the assessment of liver and spleen size. These were correlated with the age, sex, height/length and weight of the participants.

Results

Normal liver and spleen length and range were obtained sonographically. The liver and spleen length significantly correlated highly with the height/length of the subjects (P=0.0001).

Conclusions

The study provides the normal values of liver and spleen size by ultrasonography in healthy Indian children.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Zhang B, Lewis SM. A study of the reliability of clinical palpation of the spleen. Clin Lab Haematol 1989;11:7–10.

    Article  CAS  PubMed  Google Scholar 

  2. Joshi R, Singh A, Jajoo N, Pai M, Kalantri SP. Accuracy and reliability of palpation and percussion for detecting hepatomegaly: a rural hospital based study. Indian J Gastroenterol 2004;23:171–174.

    PubMed  Google Scholar 

  3. French J, Camitta BM. Splenomegaly. In: Behrman RE, Kliegman RM, Jenson HB (ed). Nelson Textbook of Pediatrics. 17th ed. Philadelphia, Pa: Saunders; 2004. p. 1675.

    Google Scholar 

  4. Mimouni F, Merlob P, Ashkenazi S, Litmanovitz I, Reisner SH. Palpable spleens in newborn term infants. Clin Pediatr (Phila) 1985;24:197–198.

    Article  CAS  Google Scholar 

  5. Megremis SD, Vlachonikolis LG, Tsilimigaki AM. Spleen length in childhood with US: Normal values based on age, sex and somatometric parameters. Radiology 2004;23:129–134.

    Article  Google Scholar 

  6. Chen CM, Wang JJ. Clinical and sonographic assessment of liver size in normal Chinese neonates. Acta Paediatr 1993;82:345–347.

    Article  CAS  PubMed  Google Scholar 

  7. Singh K, Bhasin DK, Reddy DN, Koshy A. Liver span in normal Indians. Indian J Gastroenterol 1985;4:73–75.

    CAS  PubMed  Google Scholar 

  8. Swash M. Hutchison’s Clinical Methods. 20th edition. London: WB Saunders Company Ltd; 1995.

    Google Scholar 

  9. Rosenberg HK, Markowitz RJ, Koelberg H, Park C, Hubbard A, Bellah RD. Normal splenic size in infants and children: sonographic measurements. Am J Roentgenol 1991;157:119–121.

    CAS  Google Scholar 

  10. Deligeorgis D, Yannakos D, Panayoton P. Doxiadis S. The normal borders of the liver in infancy and childhood. Arch Dis Child 1970;45:702–704.

    Article  CAS  PubMed  Google Scholar 

  11. Dittrich M, Milde S, Dinkel E, Baumann W, Weitsel D. Sonographic biometry of liver and spleen size in childhood. Pediatr Radiol 1983;13:206–211.

    Article  CAS  PubMed  Google Scholar 

  12. Kirk RM. Clinical assessment of liver enlargement. Indian J Gastroenterol 2004;23:163–164.

    CAS  PubMed  Google Scholar 

  13. Halpern S, Coel M, Ashburn W, Alazraki N, Littenberg R, Hurwitz S, et al. Correlation of liver and spleen size. Determinations by nuclear medicine studies and physical examination. Arch Intern Med 1974;134:123–124.

    Article  CAS  PubMed  Google Scholar 

  14. Barkun AN, Camus M, Green L, Meagher T, Coupal L, De Stempel J, et al. The bedside assessment of splenic enlargement. Am J Med 1991;91:512–518.

    Article  CAS  PubMed  Google Scholar 

  15. KonuÛs OL, Ozdemir A, Akkaya A, ErbaÛs G, Celik H, IÛsik S. Normal liver, spleen, and kidney dimensions in neonates, infants, and children: evaluation with sonography. AJR Am J Roentgenol 1998;171:1693–1698.

    Google Scholar 

  16. Safak AA, Simsek E, Bahcebasi T. Sonographic assessment of the normal limits and percentile curves of liver, spleen, and kidney dimensions in healthy school-aged children. J Ultrasound Med 2005;24:1359–1364.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Devendra Mishra.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Dhingra, B., Sharma, S., Mishra, D. et al. Normal values of liver and spleen size by ultrasonography in Indian children. Indian Pediatr 47, 487–492 (2010). https://doi.org/10.1007/s13312-010-0090-6

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13312-010-0090-6

Keywords

Navigation