Abstract
Sickle cell anemia is one of the most common genetic disorders worldwide. It is an inherited disease of public health importance especially in sub- Saharan Africa. Acute painful crisis is the hallmark of the disease with major impact on the psychosocial wellbeing of both the patient and caregiver. Here, we report a case of 8yr old female with sickle cell disease (SCD). She presented to the emergency unit with complaint of recurrent abdominal pain of 4 weeks duration and whitening of the palms and soles of the feet of 3 days duration. Laboratory investigations revealed anemia with packed cell volume (PCV) of 16% and ultrasound scan with impression of splenomegaly. This case shows that splenectomy is one of the mainstays in the treatment of sequestration crisis. It equally demonstrates that ultrasound scan is beneficial, especially when contrasted computed tomography (CT) is not available as is found in many resource-poor settings.
Published Version
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