The patient, a 62-year-old female, having had primary myelofibrosis for 13 years and a splenectomy 4 years before, was admitted because of high fever, hepatomegaly, thrombocythemia
[ncbi.nlm.nih.gov]
[…] manifestations depend on the type of blood cell affected and may include anemia, pallor, splenomegaly, hypermetabolic state, petechiae, ecchymosis, bleeding, lymphadenopathy, hepatomegaly
[orpha.net]
[…] abdominal discomfort, early satiety, and 15-lb weight loss over the past 5 months Abdominal examination reveals splenomegaly, palpable 8 cm. below the costal margin without hepatomegaly
[targetedonc.com]