CHOLELITHIASIS IN SAUDI PATIENTS WITH SICKLE-CELL-ANEMIA

被引:6
作者
ALSALEM, AH [1 ]
JABER, A [1 ]
ABUSRAIR, H [1 ]
ALJAMA, A [1 ]
ALJISHI, N [1 ]
机构
[1] QATIF CENT HOSP,DEPT SURG,QATIF,SAUDI ARABIA
关键词
D O I
10.5144/0256-4947.1992.387
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Gallbladder ultrasonography was performed on 150 patients with sickle cell disease (144 SS and 6 S-B Thal) to establish the prevalence of cholelithiasis in Saudi sicklers. There were 81 males and 69 females whose ages ranged from 1 1/2 to 75 years (mean 16.0). Gallstones were demonstrated in 29 patients, giving an overall prevalence of 19.3%. An additional 34 patients (22.7%) had only biliary sludge. The youngest patient with gallstones was seven-years-old. Of those with positive gallstones, radiopaque gallstones were found in 24%. There was a correlation between the presence of gallstones and increasing age. Patients with gallstones also had higher serum bilirubin levels, but their hemoglobin, hematocrit, reticulocyte count, hemoglobin S and hemoglobin F levels were not significantly different from those patients without gallstones.
引用
收藏
页码:387 / 390
页数:4
相关论文
共 17 条
[1]  
Perrine RP, Natural history of sickle cell anemia in Saudi Arabs, Ann Intern Med, 88, (1978)
[2]  
Al-Awamy BH, Sickle cell anemia: its clinical manifestations and their management, Saudi Med J, 8, (1987)
[3]  
Al-Awamy BH, Newborn screening for sickle cell haemoglobinopathy and other inherited erythrocytic disorders in the Eastern Province of Saudi Arabia, Saudi Med J, 7, (1986)
[4]  
Rennels MB, Cholelithiasis in patients with major sickle cell hemoglobinopathies, Am J Dis Child, 138, (1984)
[5]  
Karayalcin G, Cholelithiasis in children with sickle cell disease, Am J Dis Child, 133, (1984)
[6]  
Sarnaik S, Incidence of cholelithiasis in sickle cell anemia using the ultrasonic Gray-Scale Technique, J Pediatr, 96, (1980)
[7]  
Durosinmi MA, Prevalence of cholelithiasis in Nigerians with sickle cell disease, Afr J Med Sci, 18, (1989)
[8]  
Akamaguna AI, Cholelithiasis in sickle cell disease: a cholecystographic and ultrasonagraphic evaluation in Nigerians, Eur J Radial, 5, (1985)
[9]  
Crade M, Comparison of ultrasound and oral cholecystogram in the diagnosis of gallstones, Clin Ultrasound, 1, (1979)
[10]  
Phillips JC, The incidence of cholelithiasis in sickle cell disease, Am J Roentgenl Radium Ther Nucl Med J, 113, (1971)