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spleen
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Splenomegaly can displace the stomach anteriorly and to the right and/or the splenic flexure of the colon downward. Splenomegaly can be palpated on inspiration (increases abdominal pressure) below the left costal margin between this margin and the umbilicus).

The spleen can be punctured if the posterior portion (posterior to the midaxillary line) of the left 9th 11th ribs are fractured.
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