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FREQUENCY OF HYPERSPLENISM IN CASES WITH LIVER CIRRHOSIS

1Dr. SYED MOHSIN ALI, 2 Dr. SYEDA UMM A OMARAH GILANI, 3Dr. SYEDA AMINA BATOOL

1School of Medicine and Nursing, Dezhou University, Shandong, China 2Lenox Hill Medical Diagnostic Imaging Center, New York 3Kishwar Fazal Teaching Hospital, Sheikhupura, Pakistan

Objective: To determine the frequency of cases with hypersplenism presenting with liver cirrhosis. Methodology: This was a cross sectional study conducted at Kishwar Fazal Teaching Hospital, Sheikhupura, Pakistan during July to December 2018. In this study the diagnosed cases of liver cirrhosis of at least one year or more were included. The cases of age more than 20 years irrespective of gender were selected. Liver cirrhosis was labelled where the liver was shrunken and portal vein was more than 1 cm with or without signs and symptoms of cirrhosis. Detailed clinical and laboratory investigation s were conducted to label the Child Pugh Class. The cases with bleeding disorders and haematological malignancies were excluded. The diagnosis of hypersplenism was made on bone marrow analysis showing normal or hyper cellular marrow. Results: In this study there were total 100 cases out of which 57 (57%) were males and 43 (43%) females. The mean age was 53.45±8.11 years. Majority of the cases were seen in Child class B affecting 52 (52% of the cases. Hypersplenism was observed in 43 (43%) of the cases. Hypersplenism was seen more in cases with liver cirrhosis more than 2 years where it was observed in 37 (58.73%) out of 63 cases with p= 0.02. It was also seen more in cases with child pugh class C where it was noted in 34 (70.83%) out of 48 cases with p value of 0.001. Conclusion: Hypersplenism is seen in almost half of the cases with cirrhosis and is more in cases with Child class C and duration of cirrhosis > 2 years. Key Words: Cirrhosis, Hypersplenism