title: Hereditary Spherocytosis with Splenomegaly and Cholelithiasis in a Young Male of Western Region of Nepal - A Case Report.
abstract: Hereditary spherocytosis is an autosomal dominant congenital hemolytic anemia due to defect in RBC membrane protein that commonly presents with intermittent jaundice, anemia, abdominal pain, splenomegaly and sometimes cholelithiasis. Due to the membrane defect, there is increased fragility, hemolytic anemia, marked splenomegaly and hyperbilirubinemia. This is a report of an 11 years old male diagnosed case of hereditary spherocytosis who presented with jaundice, splenomegaly and cholelithiasis. He underwent elective open splenectomy and cholecystectomy after prophylactic immunization for capsulated organisms and was advised lifelong oral penicillin prophylaxis post-splenectomy.
authors.affiliation: Department of Surgery Western Regional Hospital Pokhara, Nepal.
authors.forename: P
authors.initials: P
authors.lastname: Ghimire
authors.affiliation: Department of Surgery Western Regional Hospital Pokhara, Nepal.
authors.forename: N V
authors.initials: NV
authors.lastname: Gurung
authors.affiliation: Department of Surgery Western Regional Hospital Pokhara, Nepal.
authors.forename: S
authors.initials: S
authors.lastname: Shrestha
authors.affiliation: Department of Surgery Western Regional Hospital Pokhara, Nepal.
authors.forename: S R
authors.initials: SR
authors.lastname: Poudel
authors.affiliation: Department of Surgery Western Regional Hospital Pokhara, Nepal.
authors.forename: A
authors.initials: A
authors.lastname: Chapagain
mesh_terms: D015746:Abdominal Pain; D002648:Child; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000150:complications* / Q000601:surgery; D017558:Elective Surgical Procedures; D006801:Humans; D007565:Jaundice; D008297:Male; D009390:Nepal; D013103:Spherocytosis, Hereditary / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D013156:Splenectomy; D013163:Splenomegaly / Q000150:complications* / Q000601:surgery