ACUTE SPLENIC SEQUESTRATION IN ADULT

Abstract

Introduction: Acute splenic sequestration is a complication of sickle cell syndromes. it is dened by a sudden increase of more than 2 cm in the size of the spleen, and a drop in hemoglobin level of at least 2 g/dl. we report a case of splenic sequestration managed by surgery after failure of transfusion procedures.Observation: A 20 year-old man with homozygote sickle cell syndrom admitted in intensive care unit for acute anemia and left upper abdomen pain, after transfusion and rehydratation, we note no improvement in the hemoglobin level and the appearance of fever and abdominal contracture. Emergency splenectomy reveal signs of early splenic infarction. Even if it is Conclusion: rare in adults, splenic sequestration may impose splenectomy if there is a clinical and biological aggravation after transfusion.