© 2002 The Fellowship of Postgraduate Medicine
CASE REPORT
Fulminant ischaemic colitis with atypical clinical features complicating sickle cell disease
1 Pulmonary and Critical Care Medicine, Long Island Jewish Medical Center
2 Hematology and Oncology, Long Island Jewish Medical Center
3 Pathology, St Lukes-Roosevelt Hospital
4 Pathology, Long Island Jewish Medical Centre
Correspondence to:
Correspondence and reprint requests to:
Dr Leonard J Rossoff, Division of Pulmonary and Critical Care Medicine, Long Island Jewish Medical Center, Long Island Campus of the Albert Einstein College of Medicine, Room C-20, 270–05 76th Avenue, New Hyde Park, NY 11042, USA;
anitakarim00{at}yahoo.com
Clinically significant ischaemic bowel injury is an exceedingly rare complication of sickle cell disease. It manifests as acute surgical abdomen and may respond to conservative treatment. An unusual fatal case of ischaemic colitis with minimal abdominal findings in a young male during a sickle cell vaso-occlusive pain crisis is described. This case demonstrates that an acute surgical abdomen should be considered in such patients who fail to respond to conservative management as untreated this condition may be fatal.
Keywords: ischaemic colitis; sickle cell pain crisis; vaso-occlusive disease
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