African Health Sciences
Makerere University Medical School
Vol. 14, No. 1, 2014, pp. 246-254
Bioline Code: hs14038
Full paper language: English
Document type: Research Article
Document available free of charge
African Health Sciences, Vol. 14, No. 1, 2014, pp. 246-254
© Copyright 2014 - African Health Sciences
Sonographic determination of spleen to left kidney ratio among Igbo school age children of south east Nigeria.|
Eze, CU; Agwu, KK; Ezeasor, DN; Agwuna, KK & Aronu, AE
Background: Clinical determination of mild splenomegaly is notoriously inaccurate.
Objectives:To determine sonographically the spleen to left kidney ratio according to age and somatometric parameters
among school age children in a tropical environment.
Methods: A cross sectional study and convenience sampling were done on 947 apparently healthy subjects (496 boys and
451 girls) aged 6 - 17 years at the University of Nigeria Medical Centre, Nsukka. The sonographic examination was per-formed on Shenzhen DP-1100 machine with 3.5 and 5 MHz convex transducers. Spleen and left kidney lengths were ob-tained using appropriate techniques. The weight and height of the subjects were obtained with the participants wearing light
weight street clothes without shoes.
Results:Measurement of spleen and left kidney lengths were reliable within and between sonographers. The spleen and left
kidney lengths were not statistically different in boys and girls (p > 0.05). The spleen to left kidney ratio according to age and
somatometric parameters is constant at about 1.13 with 1.3 as the upper limit of normal in the studied population.
Conclusion: Sonography can be used to detect mild splenomegaly if the spleen to left kidney ratio is greater than 1.3 in the
absence of renal disease among school age children.
Ultrasound; measurements; spleen size; school age children