Normal Spleen Size In Adults The spleen can be measured using a maximum length from upper to lower pole, which shoulder not exceed 13 cm. (Ref David Sutton) A thickness of 6 cm, measured from the hilum to the opposite edge, is also a useful cut-off when the length is borderline. Size and weight vary from person-to-person. (Ultrasound: The Requisites.Book by William D. Middleton)
Splenomegaly Weight above 400g Classification of splenomegaly Mild : 14cm – 16cm > 400g - < 1000g Moderate : 17cm – 21cm > 400g - < 1000g Spleenic area: 45cm 2 – 65cm 2 Massive: >8cm than normal >1000g >65cm 2 (Ref swaoop J,O’Reily RA. Splenomegaly at university hospital compared to nearby county hospital in 317 pt.WHO,world federation for ultrasound in medicine and biology:manual of diagnostic ultrasound.2003)
Spleen Size (pediatric) The three numbers below represent the 10th percentile, median , and 90th percentile for the long axis of the spleen (cm) 0-3 months: (3.3, 4.5 , 5.8 cm) 3-6 months: (4.9, 5.3 , 6.4 cm) 6-12 months: (5.2, 6.2, 6.8 cm) 1-2 years: (5.4 , 6.9 , 7.5 cm) 2-4 years: (6.4, 7.4 , 8.6 cm) 4-6 years: (6.9, 7.8, 8.8 cm) 6-8 years: (7.0, 8.2 , 9.6 cm) 8-10 years: (7.9, 9.2 , 10.5 cm) 10-12 years: (8.6, 9.9 , 10.9 cm) 12-15 years: (8.7, 10.1 , 11.4 cm) Formula to measure average pediatric spleen size……5.5+1/3 rd of age (Ref Radiopeadia )