Sickle Cell Disease: When Abdominal Pain is Not Sickle Cell Pain (213-1)

9:45 am – 10:15 am Friday, September 16
A hallmark of sickle cell disease is pain. Abdominal pain can be a common complaint among children with and without sickle disease and may be related to a wide variety of underlying causes For children with and without sickle cell disease abdominal pain may be related to constipation, anxiety, an infectious process, an acute surgical concern or possibly a chronic medical condition. Abdominal pain in a child with sickle cell disease may be related to any of the previously mentioned causes but may also be related to splenomegaly, hepatomegaly, cholelithiasis, or a vaso-occlusive crises.
Often pain, including abdominal pain, in a child with sickle cell disease is attributed to a vaso-occlusive crisis and treated as such. However, when abdominal pain is recurrent or does not respond to interventions targeted for the treatment of a vaso-occlusive crisis a provider should consider other possible causes of abdominal pain. A thorough physical exam, a review of laboratory studies and an assessment of growth trends should also be evaluated. This presentation will discuss clinical cases involving children with sickle cell disease who experienced recurrent abdominal pain that may have originally been considered to be a vaso-occlusive crisis but was later found to be due to an underlying disease process such as irritable bowel disease, celiac disease or cancer. This presentation seeks to bring awareness to history, exam and evaluation findings that may cause the provider to consider etiologies of abdominal pain other than vaso-occlusive crisis secondary to sickle cell disease.
CNE Hours: