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Published:
Aug 7, 2019Keywords:
Haemolytic anemia; hereditary spherocytosis; massive splenomegaly; splenectomy; pregnancy; South Africa
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Hereditary spherocytosis with successful splenectomy in a pregnant black South African lady: a case report
Abstract
Hereditary spherocytosis is a rare cause of chronic haemolytic anaemia. It is rarer in the black population with extremely few cases reported. Initial assessment of a patient with suspected disease should include documenting clinical features of chronic haemolysis and a family history. Its management in pregnancy is challenging and needs a multidisciplinary team. We report on a black South African woman with hereditary spherocytosis and massive splenomegaly presenting with severe haemolytic anaemia at 23rd week of pregnancy. She had a successful splenectomy.
