Presentation
Tachycardia, tachypnea, sore tongue, and jaundice.
Patient Data
Age: 35 years
Gender: Female
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CT images demonstrating hepatosplenomegaly, signs of abdominal venous congestion, a small amount of ascites, enlarged kidneys (RK 13.3 cm and LK 13.8 cm). Incidental simple cyst in the liver.
Case Discussion
This patient had a confirmed diagnosis of hemolysis:
- elevated serum unconjugated bilirubin
- raised lactic dehydrogenase (LDH)
- low red blood cells count with increased reticulocytosis
The imaging findings in the abdomen and pelvis CT are non-specific, but reflect the pathophysiology of a hemolytic anemia:
- hepatosplenomegaly
- large kidneys: believed to be a result of increased renal blood volume from the anemia