Habibi A, Khellaf M, Bachir D, Schaeffer A, Galactéros F, Godeau B. La séquestration splénique aiguë : une complication rare et grave des syndromes drépanocytaires majeurs de l'adulte. À propos d'un cas.
Rev Med Interne 2005;
26:339-42. [PMID:
15820572 DOI:
10.1016/j.revmed.2004.12.004]
[Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2004] [Accepted: 12/13/2004] [Indexed: 10/25/2022]
Abstract
INTRODUCTION
Acute splenic sequestration, a well-recognized complication of sickle cell syndromes, is characterized by a sudden decrease in haemoglobin concentration and marked painless splenomegaly. We report a case illustrating the outcome and the treatment options of this complication.
CASE REPORT
A 45-year old homozygous woman developed acute splenic sequestration with severe anemia. Red blood cells transfusion led to transient improvement but a relapse-required splenectomy. Long-term outcome was favorable.
CONCLUSION
Acute splenic sequestration is a severe complication mainly observed in children. Despite the severity of this complication, prompt diagnosis and appropriate therapy, and particularly red blood cells transfusions, led to a complete recovery. Splenectomy is required in the more severe form of the disease.
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