Abstract
The abnormal growth of the spleen is called splenomegaly, this finding is a challenge when determining its etiology for the first contact physician due to the wide range of diagnostic possibilities. Infectious, tumoral, and hematologic aetiologies should always be sought among the main aetiologies. In this case, we present a 45-year-old male patient who came to the clinic for the first time because he presented with a palpable and non-painful abdominal tumor of long evolution, with a diagnosis of chronic myeloid leukemia for 6 years, with poor adherence to treatment. Its diagnosis is based on obtaining images through methods such as tomography or magnetic resonance imaging to confirm the presence of splenomegaly, but ultrasound remains the technique of choice in Primary Care. Through clinical suspicion and performing an ultrasound in consultation, we arrive at a clinical diagnosis
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