Case 43031

Presentation of CaseA fifty-seven-year-old housewife was admitted to the hospital because of swelling of the abdomen.Twenty years previously her physician told her that she had an enlarged spleen. Subsequently, she noted that the spleen gradually became larger. Except for an associated "discomfort" she remained asymptomatic. Six years before entry she sustained minor injuries of the left leg and ankle in an automobile accident. One year later, because of subsequent recurrent episodes of swelling and tenderness of both legs, she was admitted to another hospital for three days. Physical examination at that time revealed the edge of the liver, . . .