Splenic Length Calculator

by Jonathan Colledge

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Expected Splenic Length Calculation for children

Please use ddmmyy, ddmmyyyy, dd/mm/yyyy, dd-mm-yyyy, dd/mm/yy, or dd-mm-yy.

Male Female

Date of Birth:

Date of Ultrasound:

Manual Age (in years, optional, only add if not using dates):

Measured splenic length (optional, in cm):

Calculated Age:

Result:

(The upper limit of splenic length will be automatically copied to your clipboard.)

Figure derived from data presented in referece (1). Polynomial curves have been fitted through data with a three group moving average standard deviation for females only. The data are limited by very small numbers at some ages. The results are only approximate and consideration should be given to adult splenic sizes - certainly this tool cannot be used in adults. I would suggest a cut off of 12 cm in females 16 years old and above, consistent with Rosenberg et al (2) and an upper limit of 13 cm for males at an age according to your discretion. The intercepts have been constrained to better fit with references 1-3.

References

Megremis SD, Vlachonikolis IG, Tsilimigaki AM. Spleen length in childhood with US: normal values based on age, sex, and somatometric parameters. Radiology. 2004 Apr;231(1):129-34. doi: 10.1148/radiol.2311020963. Epub 2004 Feb 27. PMID: 14990814.
H K Rosenberg, R I Markowitz, H Kolberg, C Park, A Hubbard, and R D Bellah. Normal splenic size in infants and children: sonographic measurements. American Journal of Roentgenology 1991 157:1, 119-121
Soyupak SK, Narli N, Yapicioğlu H, Satar M, Aksungur EH. Sonographic measurements of the liver, spleen and kidney dimensions in the healthy term and preterm newborns. Eur J Radiol. 2002 Jul;43(1):73-8. doi: 10.1016/s0720-048x(01)00466-1. PMID: 12065125.
Bayramoğlu Z, Ayyıldız H, Ersoy B. Reference Ranges of Age-Based Liver, Spleen, Pancreas, and Kidney Size in Conjunction with Waist Circumference in Children. Turk Arch Pediatr. 2022 Mar;57(2):175-185. doi: 10.5152/TurkArchPediatr.2022.21097. PMID: 35383012; PMCID: PMC9366329.
Fateh SM, Mohammed NA, Mahmood KA, Hasan ΑH, Tahir SH, Kakamad FH, Salih AM, Abdullah HO, Abdalla BA, Mohammed SH, Hassan HA, Hussein DA. Sonographic measurement of splenic size and its correlation with body parameters. Med Int (Lond). 2023 Jan 9;3(1):7. doi: 10.3892/mi.2023.67. PMID: 36742195; PMCID: PMC9895976.
Ehimwenma O, Tagbo MT. Determination of normal dimension of the spleen by ultrasound in an endemic tropical environment. Niger Med J. 2011 Jul;52(3):198-203. doi: 10.4103/0300-1652.86141. PMID: 22083405; PMCID: PMC3213754.