Question
A one-and-a-half-year-old child was found to have a spleen measuring 3.9 centimeters below the left rib, with a length diameter of 11.3 centimeters and a thickness of about 3.2 centimeters during examination. The spleen capsule is smooth, and the spleen parenchyma has a uniform echo. The child has not yet received treatment. Can the child’s spleen swelling possibly recover on its own?
Answer
In cases of spleen swelling, it is clinically necessary to first determine the cause of the swelling and treat it accordingly. Generally, once spleen swelling occurs, it usually does not recover to a normal state on its own. If there is only spleen swelling without hypersplenism, there is no need for separate treatment for the spleen. However, if hypersplenism occurs, leading to decreased platelet, red blood cell, and white blood cell counts, especially when platelets are significantly reduced, it may be necessary to consider spleen removal surgery. It is recommended to follow the professional advice of doctors for treatment based on the examination results.