Can an enlarged spleen (2-3X normal showed on an autopsy) be from massive hemorrhage?  I have been told different things--that the spleen should shrink if there is a massive hemorrhage in the liver--also been told that spleen could be enlarged because of massive bleed.
Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. No, this is not true. Massive hemorrhage would be seen as free blood in abdominal cavity and enlarged spleen is not sign of massive hemorrhage enlarge spleen may be sign of some hematological or liver disorders and may contribute to various death causes but if there was no blood seen outside the spleen in abdominal cavity then this is not massive hemorrhage. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.