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2015, Number 4

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Acta Med 2015; 13 (4)

Splenic infarction associated with exposure to high altitudes, secondary to the presence of sickle cell trait

López VJO, Sánchez ARA, Hernández AS, Navarro VCI, Arcos EAG, López IR, Ruiz SEJ, Meza OY, Hernández OJL

Language: Spanish
References: 10
Page: 263-266
PDF size: 274.85 Kb.


ABSTRACT

We report the case of a male aged 29 who had an adequate health history prior to this event; he was exposed to a height of over 4,000 meters, and started with a picture of crushing pain in the upper left quadrant, in addition to nausea and vomiting, with progressive increase of pain to 10 out of 10. Upon arriving at our institution, he presented hemodynamically stable. Imaging studies showed splenic infarction. A specific study of hemoglobin electrophoresis was requested on suspicion of the association of the picture and exposure to height; he was diagnosed as a carrier of sickle cell trait. The picture evolved favorably with conservative management. The patient was discharged on the fourth day of hospitalization and sent to hematology for further study and management.


REFERENCES

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