{"title":"成人急性脾疝","authors":"Essarghini Mohamed, Tarchouli Mohamed","doi":"10.36106/ijsr/8120224","DOIUrl":null,"url":null,"abstract":"Introduction: Acute splenic sequestration is a complication of sickle cell syndromes. it is dened by a sudden increase of more than 2 cm in the\nsize 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\ntransfusion procedures.Observation: A 20 year-old man with homozygote sickle cell syndrom admitted in intensive care unit for acute anemia and\nleft upper abdomen pain, after transfusion and rehydratation, we note no improvement in the hemoglobin level and the appearance of fever and\nabdominal contracture. Emergency splenectomy reveal signs of early splenic infarction. Even if it is Conclusion: rare in adults, splenic\nsequestration may impose splenectomy if there is a clinical and biological aggravation after transfusion.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":" 48","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"ACUTE SPLENIC SEQUESTRATION IN ADULT\",\"authors\":\"Essarghini Mohamed, Tarchouli Mohamed\",\"doi\":\"10.36106/ijsr/8120224\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Introduction: Acute splenic sequestration is a complication of sickle cell syndromes. it is dened by a sudden increase of more than 2 cm in the\\nsize 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\\ntransfusion procedures.Observation: A 20 year-old man with homozygote sickle cell syndrom admitted in intensive care unit for acute anemia and\\nleft upper abdomen pain, after transfusion and rehydratation, we note no improvement in the hemoglobin level and the appearance of fever and\\nabdominal contracture. Emergency splenectomy reveal signs of early splenic infarction. Even if it is Conclusion: rare in adults, splenic\\nsequestration may impose splenectomy if there is a clinical and biological aggravation after transfusion.\",\"PeriodicalId\":14358,\"journal\":{\"name\":\"International journal of scientific research\",\"volume\":\" 48\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International journal of scientific research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.36106/ijsr/8120224\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International journal of scientific research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.36106/ijsr/8120224","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Introduction: Acute splenic sequestration is a complication of sickle cell syndromes. it is dened 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.
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