Main author: Eva Svarch Guerchikoff
Summary: The crisis of splenic sequestrum is one of the most serious complicationsof sickling, and its classic treatment is total splenectomy.This procedure has the risk of postsplenectomy fulminant sepsis, which has a mortality of 50%. It was carried out a partial splenectomy to 37 children with sickling and repeated crisis of splenic sequestrum. The following period was of 51 months (1-110%). During that time, there was neither produced a crisis of splenic sequestrum nor an over-acute infection. The hospitalization and transfusion number was considerably reduced. We come to the conclusion that partial splenectomy is a useful procedure that does not implies more risk than total splenectomy; for this reason it is the treament for the crisis of splenic sequestrum in sickling.