Vol. 6 (01) pp. 1190-1194 DOI: 10.21474/IJAR01/6336

COMPUTED TOMOGRAPHY FINDINGS IN THE SPLEEN OF SICKLE CELL PATIENTS IN SAUDI ARABIA.

, , , , , , , , , and
  • Consultant Radiologist, King Fahad Hospital Hofuf, Saudia Arabia.
  • Medical Intern, Imam Abdulrahman bin Faisal University, Saudi Arabia.
  • These authors contributed equally to this work as the co-first authors.
  • Consultant Hematology/Oncology, King Fahad Hospital Hofuf, Saudia Arabia.
  • Medical Student, King Faisal University, Saudi Arabia.
  • Medical Student,King Saud Univercity,Saudia Arabia.
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Abstract

Background: Spleen is commonly involved in sickle cell disease (SCD), and splenic abnormalities are expected to be seen in computed tomography (CT) of nearly all patients with the disease. Objective: The aim of this study was to evaluate the prevalence and characteristics of abnormal splenic findings in the CT-scans of SCD patients. Materials and methods:We reviewed the medical and radiological reports of SCD patients who visited the radiology department at King Fahad Hospital -Hofuf from 2011 to 2016 for an abdominal CT scan. A consultant radiologist validated CT studies. Results: This study included 119 patients. The mean age ? SD was 28.67 ? 13.57 years. 79% of patients were adults. 10.9% of patients had a normal-sized spleen with no statistical difference among age groups. Splenomegaly was detected in 46.8% and 68% of adults and pediatrics respectively. The most common splenic pathologies were splenic infarction, fibrosis/calcification and sequestration and represented 33.6%, 18.5%,and 4.2% of the patients. Splenic sequestrations were evident solely in the adult age group. Conclusion:Sickle-cell related splenic complications are common. Documented splenic complications of SCD in the Eastern Province patients are similar to what has been reported internationally. Periodic radiological evaluation of the spleen as part of SCD management protocol to detect these complications is recommended.

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How to Cite This Article

Qasem Alalwan, Mohammed Alhaddad, Mousa Alhaddad, Ahmed Alsuliman, Ali Alhawaj, Mohammed Alhajji, Hassan Alnasser, Yousef Alabdullah, Ali Alabdullah, Mohammed Alalwan and Malak alalwan (2018); COMPUTED TOMOGRAPHY FINDINGS IN THE SPLEEN OF SICKLE CELL PATIENTS IN SAUDI ARABIA., Int. J. of Adv. Res., 6 (01), 1190-1194, ISSN 2320-5407. DOI: https://doi.org/10.21474/IJAR01/6336

Corresponding Author

Qasem Alalwan
Consultant Radiologist, Head of Radiology Department in KFHH, Alhassa, Saudi Arabia
Creative Commons Attribution 4.0 This work is licensed under a Creative Commons Attribution 4.0 International License.