Sickle Cell Beta-Plus Thalassemia with Subcapsular Hematoma of the Spleen
While splenic complications like hypersplenism, sequestration crisis, and infarction are commonly reported in sickle cell variants like sickle cell beta-plus thalassemia, splenic rupture with hematoma is rare. We present a case of a 32-year-old young male who presented with dull left upper quadrant...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Hematology |
| Online Access: | http://dx.doi.org/10.1155/2017/3819457 |
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| author | Suyash Dahal Sumit Dahal Dipesh K. C. Ghimire Ebad Ur Rahman Eliza Sharma |
| author_facet | Suyash Dahal Sumit Dahal Dipesh K. C. Ghimire Ebad Ur Rahman Eliza Sharma |
| author_sort | Suyash Dahal |
| collection | DOAJ |
| description | While splenic complications like hypersplenism, sequestration crisis, and infarction are commonly reported in sickle cell variants like sickle cell beta-plus thalassemia, splenic rupture with hematoma is rare. We present a case of a 32-year-old young male who presented with dull left upper quadrant pain who was found to have multiple subcapsular splenic lacerations and hematoma on abdominal imaging. Hemoglobin electrophoresis confirmed sickle cell beta-plus thalassemia in the patient. There was no history of trauma, and rest of the workup for possible cause of spontaneous rupture of spleen was negative. With the patient refusing splenectomy, he was managed conservatively. Clinicians need to be aware of this rare complication of sickle cell variants. |
| format | Article |
| id | doaj-art-3a127709ce124d9fa8ca4337eb29c574 |
| institution | Kabale University |
| issn | 2090-6560 2090-6579 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Hematology |
| spelling | doaj-art-3a127709ce124d9fa8ca4337eb29c5742025-02-03T01:21:35ZengWileyCase Reports in Hematology2090-65602090-65792017-01-01201710.1155/2017/38194573819457Sickle Cell Beta-Plus Thalassemia with Subcapsular Hematoma of the SpleenSuyash Dahal0Sumit Dahal1Dipesh K. C. Ghimire2Ebad Ur Rahman3Eliza Sharma4KIST Medical College and Teaching Hospital, Lalitpur, NepalInterfaith Medical Center, Brooklyn, NY, USAInterfaith Medical Center, Brooklyn, NY, USAInterfaith Medical Center, Brooklyn, NY, USAMaimonides Medical Center, Brooklyn, NY, USAWhile splenic complications like hypersplenism, sequestration crisis, and infarction are commonly reported in sickle cell variants like sickle cell beta-plus thalassemia, splenic rupture with hematoma is rare. We present a case of a 32-year-old young male who presented with dull left upper quadrant pain who was found to have multiple subcapsular splenic lacerations and hematoma on abdominal imaging. Hemoglobin electrophoresis confirmed sickle cell beta-plus thalassemia in the patient. There was no history of trauma, and rest of the workup for possible cause of spontaneous rupture of spleen was negative. With the patient refusing splenectomy, he was managed conservatively. Clinicians need to be aware of this rare complication of sickle cell variants.http://dx.doi.org/10.1155/2017/3819457 |
| spellingShingle | Suyash Dahal Sumit Dahal Dipesh K. C. Ghimire Ebad Ur Rahman Eliza Sharma Sickle Cell Beta-Plus Thalassemia with Subcapsular Hematoma of the Spleen Case Reports in Hematology |
| title | Sickle Cell Beta-Plus Thalassemia with Subcapsular Hematoma of the Spleen |
| title_full | Sickle Cell Beta-Plus Thalassemia with Subcapsular Hematoma of the Spleen |
| title_fullStr | Sickle Cell Beta-Plus Thalassemia with Subcapsular Hematoma of the Spleen |
| title_full_unstemmed | Sickle Cell Beta-Plus Thalassemia with Subcapsular Hematoma of the Spleen |
| title_short | Sickle Cell Beta-Plus Thalassemia with Subcapsular Hematoma of the Spleen |
| title_sort | sickle cell beta plus thalassemia with subcapsular hematoma of the spleen |
| url | http://dx.doi.org/10.1155/2017/3819457 |
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