PETER W. WILSON, M.D.; WILLIAM R. BERRY, M.D.; WENDELL F. ROSSE, M.D.
WILSON PW, BERRY WR, ROSSE WF. Splenectomy in Sickle-Cell Disease. Ann Intern Med. 1979;91:320. doi: 10.7326/0003-4819-91-2-320_1
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Published: Ann Intern Med. 1979;91(2):320.
To the editor: In the March 1979 Balleston and Warth (1) describe the case of an adult with sickle-cell anemia and splenomegaly who profited from splenectomy. We describe a similar case and relate a different experience.
A 20-year-old woman was seen at the Duke University Medical Center because of recurrent left-upper-quadrant pain and persistent swelling in that area. History showed sickle-cell anemia with hepatosplenomegaly diagnosed at age 3 at the same medical center. Results of physical examination on presentation were remarkable for a protuberant and tender spleen, which extended to the left anterior iliac crest; no hepatomegaly or ascites were
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