[Sub capsular splenic hematoma in a sickle cell trait carrier. Case report].
Drepanocytic anemia is an uncommon hereditary disease in Chile. The heterozygous state of drepanocytic anemia or "sickle trait" has a frequency of 8% among Afro-Americans. A small number of patients carrying hemoglobin S are homozygous, with clinical manifestations of hemolytic anemia and thrombotic disease. Sickle trait is usually asymptomatic. We report a 59-year-old male who presented an acute abdominal pain and dyspnea while staying at high altitude. Six days later, an angio CAT scan showed the presence of a subcapsular splenic hematoma that was managed conservatively. Sickle cell induction with sodium metabisulphite was positive. Hemoglobin electrophoresis confirmed the sickle trait.
Servicio de Hematología, Departamento de Medicina Interna, Hospital Clínico Universidad de Chile, Chile.
Diego
D
Ugalde
Guillermo
G
Conte
Héctor
H
Ugalde
Gastón
G
Figueroa
Marianela
M
Cuneo
Macarena
M
Muñoz
Javiera
J
Mayor
D015746:Abdominal Pain / Q000209:etiology; D000531:Altitude; D000532:Altitude Sickness / Q000209:etiology*; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012805:Sickle Cell Trait / Q000150:complications*; D013158:Splenic Diseases / Q000209:etiology*; D044465:White People