SPLENOMEGALY IN CONGESTIVE HEART FAILURE
Authors: N O FOWLER
Journal: Annals of Internal Medicine (1947)

Article1 November 1947SPLENOMEGALY IN CONGESTIVE HEART FAILURENOBLE O. FOWLER JR., M.D.NOBLE O. FOWLER JR., M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-27-5-733 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptDuring the past few years, we have noted several instances of palpable spleen in patients with chronic cardiac decompensation; no other reason for splenic enlargement was found in these cases.It has long been a general impression that the spleen does not become palpably enlarged as a result of congestive heart failure alone. As a corollary of this, it has been felt further that if the spleen is palpable in a case of heart failure, some complication should be suspected. This statement was made by Held1in his discussion on splenomegaly, and the same opinion was voiced by Rolleston.2Talley...Bibliography1. HELD IW: A discussion on the splenomegalies, Med. Clin. North Am., 1919, iii, 519-549. Google Scholar2. ROLLESTON HD: Discussion on splenic enlargements other than leukemia, Brit. Med. Jr., 1908, ii, 1157. Google Scholar3. TALLEYLINDSEY JEWH: Splenic enlargement in chronic cardiac disease, Jr. Am. Med. Assoc., 1924, lxxxiii, 423-425. CrossrefGoogle Scholar4. COMROE BI: Diagnosis of diseases associated with enlargement of the liver or spleen, Med. Clin. North Am., 1936, xx, 295-305. Google Scholar5. FISHBERG AM: Heart failure, 2nd Edition, 1940, Lea and Febiger, Philadelphia. Google Scholar6. BOYD WA: The pathology of internal diseases, 4th Edition, 1944, Lea and Febiger, Philadelphia. Google Scholar7. MACCALLUM WG: A textbook of pathology, 7th Edition, 1940, W. B. Saunders, Philadelphia. Google Scholar8. KLEMPERER P: The spleen, in DOWNEY, H.: Handbook of hematology, 1938, Paul B. Hoeber, Inc., New York. Google Scholar9. RAVENNA P: Splenoportal venous obstruction without splenomegaly, Arch. Int. Med., 1943, lxxii, 786-794. CrossrefGoogle Scholar10. BARKER LF: Chronic valvular disease of the heart (double mitral and double tricuspid lesions) of rheumatic origin, with signs of cardiac failure and with palpable spleen, Med. Clin. North Am., 1930, xiv, 215-217. Google Scholar11. BARRONLITMAN MAB: Importance of hepatomegaly and splenomegaly in differential diagnosis, Arch. Int. Med., 1932, l, 240-256. CrossrefGoogle Scholar12. ARNETT JH: Splenic and hepatic enlargement in endocarditis: a study of 286 autopsy findings, Am. Jr. Med. Sci., 1922, clxiii, 590. CrossrefGoogle Scholar13. ELMERROSE : Physical diagnosis, 7th Edition, 1935, C. V. Mosby, St. Louis. CrossrefGoogle Scholar14. BLUMER G: Subacute bacterial endocarditis, Medicine, 1923, ii, 105. CrossrefGoogle Scholar15. GRAY : Anatomy of the human body, 24th Edition, 1942, Lea and Febiger, Philadelphia. Google Scholar16. SMITHLEVINE JASA: The clinical features of tricuspid stenosis, Am. Heart Jr., 1942, xxiii, 739-759. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Cincinnati, Ohio*Received for publication January 29, 1947.From the Medical Clinic, Peter Bent Brigham Hospital, Boston, Massachusetts. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byTHROMBOCYTOPENIA IN HEART FAILUREPhysical signs in congestive heart failureDigestive SystemRheumatic tricuspid regurgitationSplenomegaly associated with rheumatic heart disease: Its diagnostic significanceGENES OF THE CANCER CELLTHE SPLEEN IN CONGESTIVE HEART-FAILURE 1 November 1947Volume 27, Issue 5Page: 733-737KeywordsGratitudeHeart failureHospitalsSpleenSplenomegaly ePublished: 1 December 2008 Issue Published: 1 November 1947 PDF downloadLoading ...