A massive intestinal vaso-occlusive crisis or "girdle syndrome" in a 6-year-old boy observed as a first manifestation of sickle cell disease.

Abstract:

UNLABELLED:Sickle cell disease is a chronic hematologic disease with variable but often severe systemic symptoms. In this report, we describe a 6-year-old boy presenting with acute bowel pseudo-obstruction. During this episode, previously undiagnosed sickle cell disease was discovered upon peripheral blood smear analysis. The condition was therefore interpreted as a massive intestinal vaso-occlusive crisis or "girdle syndrome". Conservative treatment with hydration therapy, analgesia and a manual partial exchange transfusion was initiated. The patient fully recovered within 5 days. CONCLUSION:Girdle syndrome is a rare but severe adverse event associated with sickle cell disease that must be considered as differential diagnosis in patients with sickle cell disease.

journal_name

Klin Padiatr

journal_title

Klinische Padiatrie

authors

Knorr M,Bienemann K,Walde G,Kaufhold A,Schündeln MM

doi

10.1055/s-0034-1389907

subject

Has Abstract

pub_date

2014-11-01 00:00:00

pages

372-4

issue

6-7

eissn

0300-8630

issn

1439-3824

journal_volume

226

pub_type

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