When sickle cell disease strikes the orbits: a rare pediatric case of bilateral subperiosteal hematomas.

IF 2.3 3区医学 Q2 PEDIATRICS

Pediatric Radiology Pub Date : 2025-09-23 DOI:10.1007/s00247-025-06404-1

Salma El Kadiri, Kamal Hlioui, Loubna Messari, Hind Qajia, Latifa Chat, Siham El Haddad

引用次数: 0

Abstract

Bone infarctions can occasionally involve the orbit, presenting with subperiosteal hematomas and mimicking infectious or neoplastic processes. We report a case of bilateral orbital bone infarctions complicated by subperiosteal hematomas in a child with sickle cell disease during a vaso-occlusive crisis. The diagnosis of subperiosteal orbital hematoma was established by computed tomography. Differentiating infection on imaging was essential to guide management. Surgical decompression was performed, leading to marked clinical improvement and relief of optic nerve compression. This case illustrates the importance of prompt diagnosis and intervention in rare orbital complications associated with hemoglobinopathies.

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镰状细胞病侵袭眼眶：一例罕见的小儿双侧骨膜下血肿病例。

骨梗死偶尔可累及眼眶，表现为骨膜下血肿，类似感染性或肿瘤性病变。我们报告一个病例的双侧眶骨梗死合并骨膜下血肿在儿童镰状细胞病期间血管闭塞危机。眼眶骨膜下血肿的诊断通过计算机断层扫描建立。在影像学上鉴别感染对指导治疗至关重要。手术减压后，临床症状明显改善，视神经受压减轻。这个病例说明了及时诊断和干预与血红蛋白病相关的罕见眼窝并发症的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Radiology 医学-核医学

CiteScore

4.40

自引率

17.40%

发文量

300

审稿时长

3-6 weeks

期刊介绍： Official Journal of the European Society of Pediatric Radiology, the Society for Pediatric Radiology and the Asian and Oceanic Society for Pediatric Radiology Pediatric Radiology informs its readers of new findings and progress in all areas of pediatric imaging and in related fields. This is achieved by a blend of original papers, complemented by reviews that set out the present state of knowledge in a particular area of the specialty or summarize specific topics in which discussion has led to clear conclusions. Advances in technology, methodology, apparatus and auxiliary equipment are presented, and modifications of standard techniques are described. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been reviewed by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in an appropriate version of the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted.