Extraordinary cause of abdominal pain in sickle-cell disease patient: a case report

Fatimah Wajih Almoaraj; Hadi Mohamed Aladraj; Ali Abduljalil Alsudan; Yusuf Jasim Althawadi; Sania Ali Alblushi; Hazem Mohammed Abdalaal; Zainab Essa Almakki; Zainab Abdulrazaq Alsaif

doi:10.24911/IJMDC.51-1704112616

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Case Report
Online Published: 05 Jan 2024

IJMDC. 2024; 8(2): 937-942

doi: 10.24911/IJMDC.51-1704112616

Extraordinary cause of abdominal pain in sickle-cell disease patient: a case report

Fatimah Wajih Almoaraj, Hadi Mohamed Aladraj, Ali Abduljalil Alsudan, Yusuf Jasim Althawadi, Sania Ali Alblushi, Hazem Mohammed Abdalaal, Zainab Essa Almakki, Zainab Abdulrazaq Alsaif.

Abstract
Background:
The coexistence of extrahepatic portal vein thrombosis (EHPVT) and sickle-cell disease (SCD) was documented in a young adult patient who was presented with vague gastrointestinal symptoms, including right upper quadrant abdominal pain associated with fever and jaundice. Diagnosing EHPVT in children can be challenging due to ambiguous presentation and the lack of sufficient literature, particularly in those with SCD.
Case Presentation:
A five-year-old boy with homozygous sickle-cell (SS) disease presented to the emergency department with subjective fever and abdominal pain. The patient was managed conservatively with intravenous (IV) fluids, antibiotics, and analgesics. After admission, the patient was found to have hypoalbuminemia, anemia, and thrombocytopenia. Abdominal ultrasound showed moderate ascites with bowel loop thickness and preserved vasculature. Later, the boy developed increased abdominal pain. Abdominal computed tomography (CT) with contrast showed hepatic, portal, superior mesenteric and splenic veins thrombosis.
Conclusion:
Venous thrombosis is rare in SS disease, and its occurrence in this disease raises the possibility of a common pathogenesis and adds another pathology to the causes of abdominal pain in sickle-cell disease.

Key words: sickle-cell disease, thrombosis, portal vein thrombosis, abdominal pain, case report.

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How to Cite this Article

Pubmed Style

Almoaraj FW, Aladraj HM, Alsudan AA, Althawadi YJ, Alblushi SA, Abdalaal HM, Almakki ZE, Alsaif ZA. Extraordinary cause of abdominal pain in sickle-cell disease patient: a case report. IJMDC. 2024; 8(2): 937-942. doi:10.24911/IJMDC.51-1704112616

Web Style

Almoaraj FW, Aladraj HM, Alsudan AA, Althawadi YJ, Alblushi SA, Abdalaal HM, Almakki ZE, Alsaif ZA. Extraordinary cause of abdominal pain in sickle-cell disease patient: a case report. https://www.ijmdc.com/?mno=183468 [Access: September 29, 2024]. doi:10.24911/IJMDC.51-1704112616

AMA (American Medical Association) Style

Almoaraj FW, Aladraj HM, Alsudan AA, Althawadi YJ, Alblushi SA, Abdalaal HM, Almakki ZE, Alsaif ZA. Extraordinary cause of abdominal pain in sickle-cell disease patient: a case report. IJMDC. 2024; 8(2): 937-942. doi:10.24911/IJMDC.51-1704112616

Vancouver/ICMJE Style

Almoaraj FW, Aladraj HM, Alsudan AA, Althawadi YJ, Alblushi SA, Abdalaal HM, Almakki ZE, Alsaif ZA. Extraordinary cause of abdominal pain in sickle-cell disease patient: a case report. IJMDC. (2024), [cited September 29, 2024]; 8(2): 937-942. doi:10.24911/IJMDC.51-1704112616

Harvard Style

Almoaraj, F. W., Aladraj, . H. M., Alsudan, . A. A., Althawadi, . Y. J., Alblushi, . S. A., Abdalaal, . H. M., Almakki, . Z. E. & Alsaif, . Z. A. (2024) Extraordinary cause of abdominal pain in sickle-cell disease patient: a case report. IJMDC, 8 (2), 937-942. doi:10.24911/IJMDC.51-1704112616

Turabian Style

Almoaraj, Fatimah Wajih, Hadi Mohamed Aladraj, Ali Abduljalil Alsudan, Yusuf Jasim Althawadi, Sania Ali Alblushi, Hazem Mohammed Abdalaal, Zainab Essa Almakki, and Zainab Abdulrazaq Alsaif. 2024. Extraordinary cause of abdominal pain in sickle-cell disease patient: a case report. International Journal of Medicine in Developing Countries, 8 (2), 937-942. doi:10.24911/IJMDC.51-1704112616

Chicago Style

Almoaraj, Fatimah Wajih, Hadi Mohamed Aladraj, Ali Abduljalil Alsudan, Yusuf Jasim Althawadi, Sania Ali Alblushi, Hazem Mohammed Abdalaal, Zainab Essa Almakki, and Zainab Abdulrazaq Alsaif. "Extraordinary cause of abdominal pain in sickle-cell disease patient: a case report." International Journal of Medicine in Developing Countries 8 (2024), 937-942. doi:10.24911/IJMDC.51-1704112616

MLA (The Modern Language Association) Style

Almoaraj, Fatimah Wajih, Hadi Mohamed Aladraj, Ali Abduljalil Alsudan, Yusuf Jasim Althawadi, Sania Ali Alblushi, Hazem Mohammed Abdalaal, Zainab Essa Almakki, and Zainab Abdulrazaq Alsaif. "Extraordinary cause of abdominal pain in sickle-cell disease patient: a case report." International Journal of Medicine in Developing Countries 8.2 (2024), 937-942. Print. doi:10.24911/IJMDC.51-1704112616

APA (American Psychological Association) Style

Almoaraj, F. W., Aladraj, . H. M., Alsudan, . A. A., Althawadi, . Y. J., Alblushi, . S. A., Abdalaal, . H. M., Almakki, . Z. E. & Alsaif, . Z. A. (2024) Extraordinary cause of abdominal pain in sickle-cell disease patient: a case report. International Journal of Medicine in Developing Countries, 8 (2), 937-942. doi:10.24911/IJMDC.51-1704112616

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