PMC9869644_01
Imaging Studies (A) Ultrasound long-axis view:cholelithiasis; (B) Ultrasound short-axis view:cholelithiasis; (C) Abdominal computed tomography (CT) transverse:splenomegaly; (D) Abdominal CT coronal:massive splenomegaly
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The patient presented with recurrent, severe postprandial biliary colic, nausea, and vomiting, which were associated with multiple gallstones on ultrasound, as demonstrated in Figure 1A,B. The CT abdomen showed massive splenomegaly (22 cm x 14 cm x 6 cm), as demonstrated in Figure 1C,D.
Peripheral platelet counts (normal range 150-450 x 103/mul). *, Date of vaccination administration; @, Date of surgery
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The 5-year follow-up confirmed no postoperative complications, complete resolution of the patient's symptoms, and platelet counts sustained at or just above the normal range, as demonstrated in Figure 2.