Sickle cell disease: with multiple splenic infarcts

Case contributed by Dr Fakhry Mahmoud Ebouda

Presentation

Known sickle cell disease patient was complaining of generalised abdominal pain.

Patient Data

Age: 23 years.
Gender: Female

The spleen is not enlarged but has multiple variable sized hypo-echoic focal lesions.

Liver is enlarged with no contoural irregularity. Two tiny hypodense focal lesions are noted at the right lobe (too small to characterize) likley simple liver cysts. Diffuse splenic hyperdensity and calcification is noted. Multiple hypodense focal lesions are scattered within splenic parenchyma showing mild enhancement at the post contrast series.Two tiny hyperdense left renal parenchymal foci are noted likely hemorrhagic cysts.

The visualized vertebral bodies showed decreased bone density with relatively decreased vertebral height giving H-shaped like appearance.

Case Discussion

Multiple splenic infarcts and bony changes in known chronic patient with sickle cell disease.

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Case information

rID: 48514
Case created: 11th Oct 2016
Last edited: 12th Oct 2016
Inclusion in quiz mode: Excluded

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