oa Central African Journal of Medicine - The Aetiology of gross splenomegaly in Rhodeisa and the significance of bilharzias

Volume 26, Issue 1
  • ISSN : 0008-9176



The aetiology of gross splenomegaly was investigated in 122 consecutive patients admitted to the wards of The Teaching Hospital over a 2 1/2 year period. Diagnosis was made in the great majority of cases by histological examination of bone marrow, lymph node or liver. Hepatosplenic bilharziasis was the most common cause of gross splenomegaly in the series (29%) followed by cirrhosis (20%) and chronic myeloid leukaemia (18%). Histological and peritoneoscopic criteria for the diagnosis of bilharzia are discussed. The absence of the tropical splenomegaly syndrome is commented upon.

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