Sickle cell 'girdle syndrome' progressing to ischaemic colitis and colonic perforation.

@article{Qureshi2006SickleC,
  title={Sickle cell 'girdle syndrome' progressing to ischaemic colitis and colonic perforation.},
  author={A Qureshi and Nora Lang and David H. Bevan},
  journal={Clinical and laboratory haematology},
  year={2006},
  volume={28 1},
  pages={60-2}
}
Abdominal pain of presumed vasocclusive origin, often termed 'girdle syndrome' because of the circumferential distribution of the pain, is common in sickle cell anaemia (SCA). Evidence of progression to bowel infarction is rare. A 27-year-old man with SCA developed chest and abdominal pain unresponsive to opiate analgesia. Abdominal X-ray showed dilated bowel loops because of partial obstruction. Despite reduction of HbS to 23% by automated red cell exchange, abdominal pain worsened. A CT scan… CONTINUE READING