in guideline Vaso-Occlusive Crisis Abdominal Vaso-Occlusive Crisis Pain resulting from tissue ischemia as a result of blockage of mesenteric blood vessels. Akingbola TS, Kolude B, Aneni EC, et al. ABDOMINAL PAIN IN ADULT SICKLE CELL DISEASE PATIENTS: A NIGERIAN EXPERIENCE. Annals of Ibadan Postgraduate Medicine. 2011;9(2):100-104. SCD Management guidelines - Tanzania Request inclusion into relevant ontology None Abdominal distension with generalised abdominal tenderness (no rebound tenderness) and reduced bowel sounds. Abdomen moves with respiration. Vomiting/diarrhoea are not common. Management of Sickle Cell Disease - The United Republic of Tanzania Sickle Cell Disease: The Clinical Care Guidelines of the Sickle Cell Unit Management of Children with Sickle Cell Disease in Europe: Current Situation and Future Perspectives