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A 62-year-old man was incidentally found to have a massive splenomegaly during his admission for a right-sided pneumonia. A contrast-enhanced CT of the neck, thorax, abdomen and pelvis revealed a massive splenomegaly that measured 26 cm in the craniocaudal span, with no hepatomegaly, lymphadenopathy or suspicious mass. Thalassaemia screen was negative and peripheral blood film did not show any abnormal cells or spherocytes. A bone marrow examination was normal as well. Liver cirrhosis, though less likely the cause of massive splenomegaly, was excluded by a normal transient elastography.
Full blood count showed microcytic hypochromic anaemia with haemoglobin of 94 g/L. He reported neither gastrointestinal symptoms nor weight loss. Upper gastrointestinal …
Contributors JLH drafted and edited the manuscript. CV provided overall clinical supervision and edited the manuscript. RL performed the endoscopic procedures and edited the manuscript. CD provided help with histology component of the manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.
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