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| Case description |
| Age | 16 years |
| Sex | Male |
| Circumstances of occurred | Fever and abdominal pains |
| Current disease | Sickle-cell type SS |
| Signs | Clinical signs: food vomiting, general state alteration syndrome, systemic inflammatory response syndrome, respiratory distress syndrome, bilateral pulmonary condensation syndrome, sensitive in the right hypochondrium and the epigastrium Blood test results: anemia and hyperleucocytosis Pulmonary X-ray: diffuse flocculent opacities of the two pulmonary fields and pneumoperitoneum under the right hemidiaphragm Plain abdominal radiograph: clarity projected on the right hypochondrium with some hydro-aeric images, multiple calcic opacities projected on the vesicular area Oesogastroduodenal fibroscopy: congestive and erosive bulbitis without perforation of the upper digestive tract. Abdominal computed tomography: giant pneumoperitoneum without fluid effusion, calcifications in the gallbladder without thickening of the wall, and homogeneous hepatomegaly |
| Treatment | tri-antibiotic IV therapy |
| Evolution | favorable |