Symptoms
Although mild splenomegaly could be asymptomatic, it is usually presented with abdominal pain as patients’ complaints include vague pain in the upper left abdomen that may refer to the left shoulder. Spleen enlargement cause stretching of the splenic capsule which stimuli pain receptors. In some patients, pain may increase with deep inspiration or after heavy meals.
Splenomegaly is often associated with anemia so patients may be pale. Hemolytic jaundice (yellowish discoloration of the skin and sclera) is a medical condition in which there is a high rate of RBCs destruction and it is commonly seen in a patient with splenomegaly. Patients with splenomegaly may also complain of fatigue, malaise, and fever in case of infection.
