Assessment of etiological factors and clinical outcome of splenomegaly among the children admitted under paediatric department, Siddipet district, Telangana state

Abstract

Introduction: Splenomegaly is defined as enlargement of spleen. Splenomegaly is a sign which is prominent among infants and children. Aim of this study is to assess the various etiological factors and clinical outcome of splenomegaly among the pediatric cases admitted in RVM Institute of Medical Sciences and Research Centre, Siddipet, Telangana state. Methodology: Hospital based observational study conducted between July 2019 to December 2019. 50 children from 6 months to 18years, with varying grades of Splenomegaly of different etiologies, admitted to pediatric ward of RVM Institute of Medical Sciences, Siddipet. Detailed History was collected by administering semi-structured questionnaire on each case, physical examination and necessary investigations were done wherever required.Results: Male preponderance was seen in present study. Maximum incidence of Splenomegaly was seen between 6 months to 6 years age group (56%).Majority of the cases had moderate Splenomegaly (46.15%). Fever was the most common presenting feature associated with Splenomegaly. Infections (44%) were the most common Cause of Splenomegaly in all study followed by hematologic diseases (36%). Conclusion: Occurrence of Splenomegaly is commonly due to various infections in present study. Males are predominantly having splenomegaly; majority of cases had moderate Splenomegaly.