Type of Article:  Original Research

Volume 9; Issue 4 (December 2021)

Page No.: 8181-8184

DOI: https://dx.doi.org/10.16965/ijar.2021.182

A Cadaveric Study on Morphometric Features of Spleen and Splenomegaly with Accessory Spleen in Hilum

Khaleel N 1, Abinet GM 2, Angadi A V 3, Muralidhar P S 4, Shabiya M 5, Shaik Hussain Saheb *6.

1, 2 Associate Professor, Assistant professor and & HOD, Department of Anatomy  College of Medicine and Health sciences, Arba Minch University, Arba Minch, Ethiopia.

3 Professor & HOD, Department of Anatomy, SSIMS & RC, Davanagere, Karnataka, India.

4 Associate Professor of Anatomy, GIMS, Gulbarga, India.

5 Associate Professor, Kasukurthi Health Care Pvt Ltd, Bangalore, India.

*6 Associate Professor of Anatomy, SSIMS & RC, Davanagere, India.

Corresponding author: Shaik Hussain Saheb, Associate Professor of Anatomy, SSIMS & RC, Davanagere, Karnataka, India. Mobile – 9242056660 E-Mail: anatomyshs@gmail.com        


Background:  Anatomical knowledge regarding the external morphology of the spleen is essential for surgical intervention and radiological diagnosis. Splenomegaly is defined as pathologic enlargement of the spleen measured by size or weight. A normal spleen has a craniocaudal length of no more than 12 cm and weighs less than 200 g. It is surrounded by a thin capsule. The spleen is usually not palpable unless it is enlarged; therefore, a palpable spleen is almost always abnormal. At times the spleen may be difficult to palpate, but dullness to percussion during inspiration in the area of the lower left intercostal space in the left anterior axillary line suggests splenic enlargement. Massive splenomegaly,  weight >1000 g usually occurs in lymphoma, myeloproliferative disorders, visceral leishmaniasis, and malaria.

Materials and Methods: This study was conducted in different medical institutions, to find morphometric features, spenomegaly in cadaver during routine anatomy dissection as part of curriculum, 100 cadavers were observed to find out splenomegaly.

Results: Out of 100 spleens studied, 81 cases wedge shaped spleen was the most common, followed by 12 tetrahedral shaped spleens and 7 oval shaped spleens. Average weight of the spleen was 175g. Average length of the spleen was 11.64cm, Average breadth of the spleen was 7.3cm and average thickness of spleen was 3.6cm. Out of 100 cadavers observed only one cadaver observed with massive splenomegaly with one accessory spleen in hilum. The spleen weight was 875gm, length was 18.15 cm, width was 8.65cm, thickness was 5.75cm and extended upto 7 rib and it is easily palpable below the rib cage from lumbar aspect. The cadaver was male and age around 55 years.

Conclusion: The morphometric knowledge of spleen will helpful for surgeons and for understanding deceases related spleen. The knowledge of splenomegaly is important in finding splenic disorders and accessory spleen information helpful in understanding embryonic development of spleen.

Key words: Splenomegaly, Spleen, Hilum of Spleen, Accessory spleen.


[1]. Rai G, Khanna S, Singh R, et al. Morphometric analysis of spleen in eastern up population – a cadaveric study J Evid Based Med Healthc 2020;7(33):1683-1687. DOI: 10.18410/jebmh/2020/351.
[2]. Sinnatamby, Chummy S, and R J. Last. Last’s Anatomy: Regional and Applied. Edinburgh: Churchill Livingstone, 2011;270 -272.
[3]. Standring S: Gray’s Anatomy: The Anatomical Basis of the Clinical Practice, 39th edition. Edinburg: Elsevier Churchill Livingstone, 2006; 1239-44. https://www.osmosis.org/answers/splenomegaly/ 20/09/2021.
[4]. Ashwini Tangde, Bharat Sonwane, Rajan Bindu. A clinicohematological profile of splenomegaly. International Journal of Research in Medical Sciences. 2019;7(5):1934-1939.
[5]. Endo A, Ueno S, Yamada C and Takakuwa T. Morphogenesis of the spleen during the human embryonic period.Anat Rec (Hoboken). 2015;298(5):820-6.
[6]. Rajashree B, Dharma Niranjan Mishra, Rajib Kanchan, Chinmayi Mohapatra. Morphometry of Human Cadaveric Spleen: An Institutional Study in the Population of Odisha. 2018;6(6):497-502.
[7]. Rao S, Katikireddi S. Morphometric study of human spleen. Int J Biol Med Res 2013;4:3464-8.
[8]. Brigden ML, Pattullo AL. Prevention and management of overwhelming post splenectomy infection: an update. Crit Care Med 1999;27:836–842.
[9]. Chaware PN, Belsare SM, Kulkarni YR, Sudhir Vishnupant, Ughade JM. The Morphological Variations. J ClinDiagn Res 2012;6:159-62.
[10]. Michels NA. The variational Anatomy of the spleen and the splenic artery. Am J Anat Anatomy. 1942;70:21-72.
[11]. Sangeeta M, Varalakshmi KL, Sahana BN. Cadaveric Study of Morphometry of Spleen. 2015:1(3);14-17.
[12]. Saheb H, Velichety SD, Haseena S. Morphological and Morphometric study of Human Foetal Spleen. Int J Anat Res. 2014; 2(1):234-38.
[13]. Gujar S et al. A cadaveric study of human spleen and its clinical significance. National Journal of Clinical Anatomy 2017;6(1):35-41.
[14]. Nigam Y, Knight J. The lymphatic system 2: structure and function of the lymphoid organs. Nursing Times [online]; 2020;116(11):44-48.
[15]. Nguyen Y, Stirnemann J, Belmatoug N. [Gaucher disease: A review]. Rev Med Interne. 2019 May;40(5):313-322.
[16]. Kang DW, Kim SH. Clinical aspects of splenomegaly as a possible predictive factor of coronary artery changes in Kawasaki disease. Cardiol Young. 2018 Dec 21;1-6.
[17]. P.P. Havaldar, S. Taz, S.H. Saheb Morphological study of obturator artery. Int J Anat Res, 2019;2:354-357.
[18]. Gala AR, Surapaneni T, Aziz N, Kallur SD. A Review of Outcomes in Pregnant Women with Portal Hypertension. J Obstet Gynaecol India. 2018 Dec;68(6):447-451.
[19]. Jennifer Chapman; Pankaj Bansal; Amandeep Goyal; Alexandre M. Azevedo. Splenomegaly. Aug 2011. https://www.ncbi.nlm.nih.gov/books/NBK430907.

Cite this article: Khaleel N, Abinet GM, Angadi A V, Muralidhar P S, Shabiya M, Shaik Hussain Saheb. A Cadaveric Study on Morphometric Features of Spleen and Splenomegaly with Accessory Spleen in Hilum. Int J Anat Res 2021;9(4):8181-8184. DOI: 10.16965/ijar.2021.182