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Journal of Case Reports
Spontaneous Splenic Rupture in Sickle Cell Disease: Rare Case in Adults and First Recorded in South America
Madani Galleze1, Hatem Kallel2, Hajer Kraiem1, Majdi Omri1, Didier Hommel2, Hakim Amroun3, Jean Marc Pujo1
1Emergency Department, 2Intensive Care Unit, 3Surgery Department; Cayenne General Hospital, Cayenne, French Guiana.
Corresponding Author:
Dr Jean Marc Pujo
Email : tamac66@gmail.com
Received: 02-JUL-2020 Accepted: 19-JAN-2021 Published Online: 15-MAR-2021
DOI: http://dx.doi.org/10.17659/01.2021.0015
Background: We report a case of spontaneous splenic rupture in a 27-year-old man with a known history of SS homozygous sickle cell disease. Case Report: The patient presented for increasing left basithoracic pain evolving for 4 days of spontaneous onset and signs of hypovolemia. The CT scan showed an intra-peritoneal effusion, an enlarged and heterogenous spleen, associated with perisplenic subcapsular hematoma, without parenchymal lacerations or active bleeding.  The diagnosis of spontaneous spleen rupture in the context of homozygous SS sickle cell anemia was finally retained and we decided to monitor the patient in intensive care unit without surgery. No complication occurred during the patient’s stay and he left the hospital three weeks after admission. Conclusion: Conservative treatment is a multidisciplinary decision that will require close monitoring in intensive care unit.
Keywords : Hematoma, Intensive Care Units, Lacerations, Sickle Cell Anemia, Splenic Rupture.
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