A Case Report on Hepatosplenomegaly and Cholelithiasis in a Case of Beta-thalassemia: Hb E Type

Abstract

Beta thalassemia is an inherited blood disorder in which the body does not produce enough haemoglobin. It is a relatively uncommon condition. The association with beta-thalassemia is uncommon. An enlarged spleen in a child with beta-thalassemia can be caused by increased red blood cell destruction, the formation of blood cells outside of the bone marrow, repeated blood transfusions, or iron overload. We report a rare case of 17 years old patient admitted with multiple blood transfusions and pneumococcal and meningococcal vaccination done on 8th November 2021 and last blood transfusion on 13th November 2021. The patient was admitted to AVBR Hospital Sawangi (M) Wardha with the chief complaint of abdominal pain that has been constantly exacerbated by movement as well as in resting period over 7 days with the clinical findings of the backache and joint pain. He was having a continuous blood transfusion in the last 7 months. After the diagnostic investigation like ultrasonography and computed tomography, the client was diagnosed with hepatosplenomegaly and cholelithiasis. The physician is treating the child with continuous blood transfusion and with iron chelating therapy which would be beneficial to reduce the iron load. The patient has been planned for splenectomy, which was the long-lasting treating strategy for his clinical presentation.