Adrenal Myelolipoma, Cholelithiasis and Calcified Spleen: Retrospective Diagnosis of Sickle Cell Anemia Using a Novel Triad of Abdominal Imaging Findings
Abstract: Sickle cell anemia
is an inherited abnormality of the globin chain with very high prevalence in the
Indian subcontinent. A significant proportion of these patients present late in
life and are at a risk of complications like acute chest syndrome and painful
episodes till a definitive diagnosis is reached and appropriate treatment is
started . We report a novel triad of abdominal imaging findings which is not
reported in literature until now and which may suggest a diagnosis of sickle
cell anemia in retrospect. Patients with this triad of abdominal findings
should be suspected to have an underlying hemoglobinopathy and should be
referred for further hematological workup. Although in our case the patient was
diagnosed to have sickle cell anemia depending on the abnormal morphology of
red cells and hemoglobin electrophoresis, it should be remembered that this
triad of findings may be seen in other hemoglobinopathies which induce a state
of chronic anemia.
Key words: sickle cell anemia,
adrenal myelolipoma, gall stones, calcified spleen
Author: Sandeep G Jakhere,
Raju S Kumbhar, Harshal V Dhongade
Journal Code: jpkedokterangg140314
