Symptoms

Signs

Case 1

Progressive abdominal swelling for five months, with a reduced appetite and abdominal pain; Bilateral lower limb swelling for the same period On and off fevers for two months. Easy fatigability and general body weakness.

Palmar and conjunctival pallor. Moderate Bilateral pitting lower limb edema; Grossly distended abdomen, Soft on palpation, Mild tenderness on deep palpation, Normal bowel sounds, and with Splenomegaly of 13 cm below the costal margin.

Case 2

Progressive abdominal swelling, which had started about four months prior. On and off fevers for four months; Bilateral lower limb swelling for three months; Easy fatigability.

Palmar and conjunctival pallor, Moderate Bilateral pitting lower limb edema; The abdomen was distended, soft, mildly tender on deep palpation, with Splenomegaly of 15 cm below the costal margin.