1. Sickle Cell Disease (SCD) on Surgical floor

2. Surgical complications in Sickle Cell disease
Cholelithiasis (most common)
Priapism (acute emergency)
Avascular necrosis of femoral head (needing THR)
Pain crisis
Hand-foot syndrome
Leg ulcers

3. Cholelithiasis is a well known entity in SCD
Prevalence ranges from 30-70% depending upon age
Chance of developing gallstones in SCD patients increases with age
The chance for developing gallstones increases from 15% if the patient is aged <10 years to 50% when he/she reaches 22 years of age
Therefore it should be top differential in SCD presenting with abdominal pain

4. These patients are at high risk of developing gall stone complications
In SCD, elective laparoscopic cholecystectomy with standard approach is recommended even in asymptomatic patients
Annual ultrasound is advised for gall stones detection in pediatric age
ERCP is warranted in patients with dilated CBD, raised direct bilirubin >5mg/L, acute cholecystitis with jaundice, pancreatitis, abnormal USG findings

5. Thank you