HEPATOESPLENOMEGALY
SIMPTOMATOLOGY AND CAUSES 5 YEARS STUDY
Novales-Castro XJ, Gonz¨¢lez-Vite M, Olivo-Cruz F, Torres-Falfan MD
Hospital General Centro M¨¦dico La Raza, IMSS, Mexico
Introduction:
There exist more than 100 causes of hepatoesplenomegalia (HE) that which outlines us the
difficult that it is for the clinical the study of these children. In our hospital 16 patients were presented
with this diagnosis in one year to comparative with the literature it is a
considerable number to request an etiology revision.
Objectives:
1. To
determine the HE incidence in
our service 2. To know the associated symptoms
and signs 3. To know if there are differences and which ones they are,
regarding age and sex groups, and to compare our results with those reported
in the literature.
Material
and Methods: A retrospective, traversal, descriptive, epidemiologic and
observational study was made. The files were revised and all the patients
admitted with the HE diagnosis
were included in the study, in a 5 years period. Patients to both sexes,
and 0 to 16 years age, without diagnose etiologic to the entrance, were
included.
Results: Of 59, 42 files were
analyzed, 22 were women and 20 men. The most frequent age went 1 to 4
years. Laboratory: the studies but useful they were the hematic Biometry
and the hepatic function tests. Imagenology: the abdominal ultrasound. The
signs and symptoms were classified in 4 groups, the largest was the
patients with fever and anemia; followed to the group with anemia without
fever. The hospital stay prevails 21 to 30 days. Discussion: The more frequent age group went 1 to 4 years. And
in according to the 4 groups divided by the simptomatology presented
corresponded the patient with fever and anemia it guides us to diagnose
toward infectious and neoplasic processes and Diagnoses coincide with those
reported in the literature. The more numerous group it was the infectious
etiology, how Cytomegalovirus and Ebtein Bar (infectious Mononucleosis
syndrome); for what we consider convenient to carry out serologic studies
for these hepatotropic virus. Most requires to be hospitalized by 10 to 20
days.