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Revista médica de Chile · Sep 2011
Case Reports[Sub capsular splenic hematoma in a sickle cell trait carrier. Case report].
- Diego Ugalde, Guillermo Conte, Héctor Ugalde, Gastón Figueroa, Marianela Cuneo, Macarena Muñoz, and Javiera Mayor.
- Servicio de Hematología, Departamento de Medicina Interna, Hospital Clínico Universidad de Chile, Chile.
- Rev Med Chil. 2011 Sep 1; 139 (9): 119211951192-5.
AbstractDrepanocytic 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.
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