Splenomegaly caused by fatty liver cirrhosis is not able to return to normal in most patients, and splenectomy can be performed when the symptoms of splenomegaly are more obvious.
1. Splenomegaly due to liver cirrhosis is one of the early symptoms of portal hypertension in liver cirrhosis. It is mainly due to the increase of resistance to splenic venous return and the retrograde transmission of portal venous pressure to the spleen, resulting in the enlargement of the spleen due to passive bruising, accompanied by proliferation of splenic tissues and intrasplenic fibrous tissues.
2. Since cirrhosis is an irreversible pathological change, the effect of portal hypertension due to cirrhosis on the spleen cannot be eliminated. In the absence of obvious symptoms of splenomegaly, it is usually not actively treated. If the hypersplenism of splenomegaly leads to a decrease in platelets and leukocytes, resulting in concomitant bleeding and infection, splenectomy is required at this time.
After the appearance of splenomegaly in liver cirrhosis, it is recommended to consult a doctor in time for active treatment.