That's an interesting question. I haven't studied medicine yet, but from clinical observation i guess that hypersplenism is due to increase activity of spleen which leads to altered hematology findings.(low Hb is think) The spleen may or may no be enlarged.
But in splenomegaly it is enlarged because of congestion of blood there.
But the think i don't understand is that in Robbins pathology it's written
Quote:
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"congestion of blood in portal hypertension leads to splenomegaly. Altered hematology findings may be present."
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This brings the confusion again.
Perhaps i'm wrong. Let's hear the correct definition from our seniors out here.