title: Splenomegaly in the returning traveller: a diagnostic workup.
abstract: Isolated splenomegaly is an unusual condition encompassing a broad range of diagnoses. We report a case of a 38-year-old Asian man who presented with insidious abdominal discomfort and night sweats following recent travel to India. Massive splenomegaly was the only prominent feature on clinical examination and on subsequent imaging. Extensive investigations were performed, ultimately resulting in transfer to a tertiary centre for definitive diagnosis via a splenic biopsy. A fine-needle aspiration was performed, and revealed diffuse large B-cell lymphoma (DLBCL). Consequently, he was successfully treated with a course of chemotherapy.
authors.affiliation: Dematology Department, East Surrey Hospital, Redhill, UK.
authors.forename: Priya Umesh
authors.initials: PU
authors.lastname: Patel
authors.affiliation: Acute Medical Unit (AMU), East Surrey Hospital, Redhill, UK.
authors.forename: Padmini
authors.initials: P
authors.lastname: Sastry
authors.affiliation: Acute Medical Unit (AMU), East Surrey Hospital, Redhill, UK.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Jawad
mesh_terms: D000328:Adult; D006801:Humans; D007194:India; D016403:Lymphoma, Large B-Cell, Diffuse / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology; D008297:Male; D013160:Splenic Neoplasms / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology; D013163:Splenomegaly / Q000209:etiology; D014057:Tomography, X-Ray Computed; D014195:Travel