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Acute splenic sequestration in the absence of palpable splenomegaly
J R Casey1, T R Kinney, R E Ware
1Department of Pediatrics, Duke University Medical Center, Durham, North Carolina 27710.
Abstract
Purpose:
Acute splenic sequestration in children with sickle hemoglobinopathies is a medical emergency characterized by splenomegaly, anemia, and thrombocytopenia.
Patients And Methods:
We describe a young girl with hemoglobin SC disease who experienced an acute splenic sequestration without palpable splenomegaly.
Conclusions:
We emphasize the need for a high index of suspicion for splenic sequestration and the utility of ultrasonography in documenting splenomegaly.