Goncalves, R.Meel, R.2017-07-262017-07-262017-05Gonçalves, R. & Meel, R. 2017, 'A rare case of massive hepatosplenomegaly due to acute lymphoblastic leukaemia in pregnancy', South African Medical Journal, vol. 107, no. 5, pp. 402-404.0256-9574 (print)2078-5135 (online)10.7196/SAMJ.2017.v107i5.12313http://hdl.handle.net/2263/61454Acute lymphoblastic leukaemia (ALL) is rarely seen in pregnancy. Massive hepatosplenomegaly as a presentation of ALL has not been described previously in any patient population. A 30-year-old pregnant woman presented at 16 weeks’ gestation with epistaxis, jaundice, diffuse abdominal pain and distension, massive hepatosplenomegaly and peripheral oedema. On the basis of blood tests, bone marrow biopsy and imaging, a diagnosis of ALL complicated by massive hepatosplenomegaly with splenic infarctions was made. The patient was referred to oncology for appropriate chemotherapy.en© 2017 Health & Medical Publishing Group. This open-access article is distributed under Creative Commons licence CC-BY-NC 4.0.Acute lymphoblastic leukaemiaPregnancyHepatosplenomegalyPatientArticle